FORM 1023-EZ for HICKMAN COUNTY ROTARY PARK FOUNDATION INC

Field Data
EIN 81-4313920
Case Number EO-2016312-000246
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name HICKMAN COUNTY ROTARY PARK FOUNDATION INC
Organization’s Mailing Address 110 E CLAY ST STE D
City CLINTON
State KY
ZIP 42031
Accounting period End 12
Primary contact name MILTON DEAN
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

GREG GUNTER
DIRECTOR
114 E JACKSON ST
CLINTON KY 42031

Officer/Director/Trustee Two

MELISSA GOODMAN
DIRECTOR
1447 STATE ROUTE 924
FULTON KY 42041

Officer/Director/Trustee Three

NANCY DAVIS
DIRECTOR
4125 STATE ROUTE 703 E
CLINTON KY 42031

Officer/Director/Trustee Four

MATTEA MITCHELL
DIRECTOR
203 MEADOW LN
CLINTON KY 42031

Officer/Director/Trustee Five

PAULA MCCUISTON
DIRECTOR
P O BOX 62
CLINTON KY 42031

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 9/20/2016
Organization Incorporation State KY
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code S20 - Community, Neighborhood Development, Improvement (General)
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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