FORM 1023-EZ for PAVILION FOUNDATION INC

Field Data
EIN 82-4843646
Case Number EO-2018095-000414
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name PAVILION FOUNDATION INC
Organization’s Mailing Address 105 WATERFORD CIRCLE
City FRANKFORT
State KY
ZIP 40601
Accounting period End 5
Primary contact name KATHRYN PAULEY
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

KATHRYN PAULEY
PRESIDENT
105 WATERFORD CIRCLE
FRANKFORT KY 40601

Officer/Director/Trustee Two

SANDRA RUDIC
TREASURER
270 CROWN POINT DRIVE
FRANKFORT KY 40601

Officer/Director/Trustee Three

MARY JOHNSON
VICE PRESIDENT/SECRETARY
205 WESTOVER ROAD
FRANKFORT KY 40601

Officer/Director/Trustee Four

VICKIE WISE
DIRECTOR
205 TWIN PINES LANE
FRANKFORT KY 40601

Officer/Director/Trustee Five

RICHARD DAILEY
DIRECTOR
1016 IROQUOIS TRAIL
FRANKFORT KY 40601

Organization’s website
Organization’s email MSKATHYSPLACE@GMAIL.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 2/1/18
Organization Incorporation State KY
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code P99 - Human Services - Multipurpose and Other N.E.C.
Organization’s purpose Charitable: Yes
Religious: Yes
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 KATHRYN PAULEY
Signature Title PRESIDENT
Signature Date 3/21/18

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