FORM 1023-EZ for BROTHERS GRIM SC INC

Field Data
EIN 82-0818801
Case Number EO-2017087-000276
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name BROTHERS GRIM SC INC
Organization’s Mailing Address 3435 N RACEWAY RD
City INDIANAPOLIS
State IN
ZIP 46234
Accounting period End 12
Primary contact name DAVID RUBLE
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

DAVID RUBLE
PRESIDENT
3435 N RACEWAY RD
INDIANAPOLIS IN 46234

Officer/Director/Trustee Two

JEFF LANGDON
VICE PRESIDENT
3523 E COUNTY RD 600 S
CLAYTON IN 46118

Officer/Director/Trustee Three

NICK FISHER
SGT AT ARMS
435 W THOMPSON RD
INDIANAPOLIS IN 46217

Officer/Director/Trustee Four

KENDAL LANGDON
TREASURER
3523 E COUNTY RD 600 S
CLAYTON IN 46118

Organization’s website WWW.BROTHERSGRIMSC.COM
Organization’s email DRUBLE21@GMAIL.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 3/9/2017
Organization Incorporation State IN
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code N50 - Recreational, Pleasure, or Social Club
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 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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