FORM 1023-EZ for SEEKING SHALOM OF INDIANA LTD

Field Data
EIN 47-2477188
Case Number EO-2016221-000325
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name SEEKING SHALOM OF INDIANA LTD
Organization’s Mailing Address 20661 WHITE TAIL CT
City GOSHEN
State NY
ZIP 46528
Accounting period End 12
Primary contact name CHRISTOPHER L SMITH
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

CHRISTOPHER SMITH
PRESIDENT
285 HALSTEAD AVE APT 2
HARRISON NY 10528

Officer/Director/Trustee Two

GRETCHEN SANTIAGO
SECRETARY-TREASURER
20661 WHITE TAIL CT
GOSHEN IN 46528

Officer/Director/Trustee Three

CAROLYN SMITH
DIRECTOR
19571 GENTLE STREAM CIRCLE
GOSHEN IN 46528

Organization’s website HTTP://WWW.SEEKINGSHALOM.ORG
Organization’s email FEDERAL@SEEKINGSHALOM.ORG
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 8/4/2014
Organization Incorporation State IN
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code F80 - Mental Health Association, Multipurpose
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 No
Disaster relief assistance No
One Third Support Public No
One Third Support Gifts Yes
Benefit of College No
Private Foundation 508(e) No
Seeking Retroactive Reinstatement No
Seeking Section 7 Reinstatement No
Correctness Declaration Yes
Signature Name
Signature Title
Signature Date

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