FORM 1023-EZ for PROFESSIONAL BROTHERS SERVING INDYINC

Field Data
EIN 84-4356768
Case Number EO-2020113-000175
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name PROFESSIONAL BROTHERS SERVING INDYINC
Organization’s Mailing Address PO BOX 2322
City INDIANAPOLIS
State IN
ZIP 46206
Accounting period End 12
Primary contact name CHARLES SCOTT
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

CHARLES SCOTT
PRESIDENT
1704 WYCLIFF DR
LAFAYETTE IN 47905

Officer/Director/Trustee Two

KEITH WILSON
TRUSTEE
1621 GLEN EAGLE DR
INDIANAPOLIS IN 46239

Officer/Director/Trustee Three

JERRY MOONEY
TRUSTEE
6916 BRECKENRIDGE DR
INDIANAPOLIS IN 46236

Officer/Director/Trustee Four

JOE E GUYTON JR
TRUSTEE
2621 COLD SPRING MANOR DR
INDIANAPOLIS IN 46222

Officer/Director/Trustee Five

WHITNEY HAMILTON JR
TRUSTEE
1545 PARK RIDGE WAY
INDIANAPOLIS IN 46229

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 4/17/2020
Organization Incorporation State IN
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code T12 - Fund Raising and/or Fund Distribution
Organization’s purpose Charitable: Yes
Religious: No
Educational: No
Scientific: No
Literary: No
Public Safety: No
Amateur Sports: No
Cruelty Prevention: No
Qualify For Exemption No
Legislation influence No
Compensation of Officer director trustee No
Donation of funds No
Conducting Activities Outside of United States No
Financial transactions with officers No
Unrelated Gross Income $1,000 or More No
Gaming Activity No
Disaster relief assistance No
One Third Support Public Yes
One Third Support Gifts No
Benefit of College No
Private Foundation 508(e) No
Seeking Retroactive Reinstatement No
Seeking Section 7 Reinstatement No
Correctness Declaration Yes
Signature Name CHARLES SCOTT
Signature Title PRESIDENT
Signature Date 4/20/2020

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