FORM 1023-EZ for COVERED BRIDGE ANTIQUE POWER INC

Field Data
EIN 35-1963703
Case Number EO-2019339-000392
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name COVERED BRIDGE ANTIQUE POWER INC
Organization’s Mailing Address 508 BARTON ST
City ROCKVILLE
State IN
ZIP 47872-1608
Accounting period End 12
Primary contact name JANIE RENNICK
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

DARYL HOBSON
PRESIDENT
3204 WALTON ST
LAFAYETTE IN 47909-3757

Officer/Director/Trustee Two

RYLAN CARR
VICE PRESIDENT
10148 N CARPENTER RD
BLOOMINGDALE IN 47832

Officer/Director/Trustee Three

GLENN JONES
SECRETARY
6614 W 100 N
MONTEZUMA IN 47862

Officer/Director/Trustee Four

JANIE RENNICK
TREASURER
508 BARTON ST
ROCKVILLE IN 47872-1608

Organization’s website
Organization’s email CBANTIQUEPOWER@GMAIL.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 7/22/1996
Organization Incorporation State IN
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code B90 - Educational Services and Schools - Other
Organization’s purpose Charitable: Yes
Religious: No
Educational: Yes
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 Yes
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 DARYL HOBSON
Signature Title PRESIDENT
Signature Date 12/3/2019

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