FORM 1023-EZ for LAURA KATHLEEN SMALLEY FOUNDATION INC

Field Data
EIN 83-3606377
Case Number EO-2019051-000404
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name LAURA KATHLEEN SMALLEY FOUNDATION INC
Organization’s Mailing Address 3804 SCARLET OAK LN
City LEXINGTON
State KY
ZIP 40514
Accounting period End 12
Primary contact name RYAN SMALLEY
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

RYAN SMALLEY
PRESIDENT
3804 SCARLET OAK LN
LEXINGTON KY 40514

Officer/Director/Trustee Two

NANCY SMALLEY
VICE PRESIDENT
2512 KINGS HWY
LOUISVILLE KY 40205

Officer/Director/Trustee Three

GENE SMALLEY
TREASURER
2116 WINSTON AVE
LOUISVILLE KY 40205

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 1/25/19
Organization Incorporation State KY
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code T12 - Fund Raising and/or Fund Distribution
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 No
Benefit of College No
Private Foundation 508(e) Yes
Seeking Retroactive Reinstatement No
Seeking Section 7 Reinstatement No
Correctness Declaration Yes
Signature Name RYAN SMALLEY
Signature Title PRESIDENT
Signature Date 2/18/19

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