FORM 1023-EZ for LAITY AND MINISTERS ALLIANCE OF TODD COUNTY INC

Field Data
EIN 81-4299260
Case Number EO-2017160-000280
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name LAITY AND MINISTERS ALLIANCE OF TODD COUNTY INC
Organization’s Mailing Address PO BOX 96
City ELKTON
State KY
ZIP 42220
Accounting period End 6
Primary contact name DANA ORR
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

DANA ORR
PRESIDENT
619 SOUTH MAIN ST
ELKTON KY 42220

Officer/Director/Trustee Two

DAVID LEAVELL
TREASURER
101 KIMBERLY ST
ELKTON KY 42220

Officer/Director/Trustee Three

JACKIE LEAVELL
SECRETARY
112 WEST RUTH DRIVE
ELKTON KY 42220

Officer/Director/Trustee Four

MATT SEEL
VICE PRESIDENT
2014 DUNHEATH DRIVE
ELKTON KY 42220

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 10/27/2016
Organization Incorporation State KY
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code S01 - Alliance/Advocacy Organizations
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 Yes
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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