FORM 1023-EZ for CAMP TO BELONG INDIANA INC

Field Data
EIN 32-0578630
Case Number EO-2018320-000202
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name CAMP TO BELONG INDIANA INC
Organization’s Mailing Address 6574 HI VU DRIVE
City INDIANAPOLIS
State IN
ZIP 46227-2308
Accounting period End 12
Primary contact name REBECCA MOORE
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

REBECCA MOORE
CO DIRECTOR
6574 HI VU DRIVE
INDIANAPOLIS IN 46227-2308

Officer/Director/Trustee Two

LEAH EDGE
CO-DIRECTOR
1040 N DELAWARE ST APT 502
INDIANAPOLIS IN 46202-3879

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 9/11/18
Organization Incorporation State IN
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code O50 - Youth Development Programs, Other
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 REBECCA MOORE
Signature Title CO DIRECTOR
Signature Date 11/14/18

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