FORM 1023-EZ for SURREY HILLS NATURE PRESERVE INC

Field Data
EIN 83-1831269
Case Number EO-2019035-000329
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name SURREY HILLS NATURE PRESERVE INC
Organization’s Mailing Address 8207 OLD WESTPORT ROAD
City LOUISVILLE
State KY
ZIP 40222
Accounting period End 12
Primary contact name LESLIE E VIDRA
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

BRAINARD PALMER-BALL JR
PRESIDENT & DIRECTOR
8207 OLD WESTPORT ROAD
LOUISVILLE KY 40222

Officer/Director/Trustee Two

IDA PALMER-BALL
SECRETARY & DIRECTOR
5150 DEVILS HOLLOW ROAD
FRANKFORT KY 40601

Officer/Director/Trustee Three

BEN PALMER-BALL
VICE-PRESIDENT & DIRECTOR
144 PENNSYLVANIA AVENUE
LOUISVILLE KY 40206

Officer/Director/Trustee Four

W FRED BOOKER
TREASURER & DIRECTOR
8209 OLD WESTPORT ROAD
LOUISVILLE KY 40222

Officer/Director/Trustee Five

RICHARD H BENNETT JR
DIRECTOR
8205 OLD WESTPORT ROAD
LOUISVILLE KY 40222

Organization’s website NONE
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 6/14/18
Organization Incorporation State KY
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code C30 - Natural Resources Conservation and Protection
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 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 BRAINARD PALMER-BALL JR
Signature Title PRESIDENT & DIRECTOR
Signature Date 1/9/19

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