FORM 1023-EZ for CHILDRENS MUSEUM OF SOUTH BEND INC

Field Data
EIN 83-2006491
Case Number EO-2019203-000445
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name CHILDRENS MUSEUM OF SOUTH BEND INC
Organization’s Mailing Address 54490 TERRACE LANE
City SOUTH BEND
State IN
ZIP 46605
Accounting period End 12
Primary contact name EMILIE UTIGARD
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

EMILIE UTIGARD
PRESIDENT
54490
SOUTH BEND IN 46605

Officer/Director/Trustee Two

NATALIE SHAFER
TREASURER
2703 SOUTHEAST DRIVE
SOUTH BEND IN 46614

Officer/Director/Trustee Three

JULIA LOVISA
VICE PRESIDENT
1222 CHIMES BOULEVARD
SOUTH BEND IN 46615

Officer/Director/Trustee Four

SARAH KELLY DEVOES
SECRETARY
22220 SANDRYBROOK DRIVE
SOUTH BEND IN 46628

Officer/Director/Trustee Five

GINA NAVOA SVAROVSKY
DIRECTOR
107 CAROLE SANDNER HALL
NOTRE DAME IN 46556

Organization’s website CHILDRENSMUSEUMOFSOUTHBEND.ORG
Organization’s email CHILDRENSMUSEUMSB@GMAIL.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 9/24/18
Organization Incorporation State IN
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code A52 - Children's Museums
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 Yes
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 EMILIE UTIGARD
Signature Title PRESIDENT
Signature Date 7/19/19

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