FORM 1023-EZ for HARDIN COUNTY CRIME STOPPERS INCORPORATED

Field Data
EIN 61-1292345
Case Number EO-2019122-000051
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name HARDIN COUNTY CRIME STOPPERS INCORPORATED
Organization’s Mailing Address 300 SOUTH MULBERRY STREET
City ELIZABETHTOWN
State KY
ZIP 42701
Accounting period End 12
Primary contact name SHERMAN TEBAULT
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

SHERMAN TEBAULT
PRESIDENT/CHAIRMAN
528 ST ANDREWS DRIVE
VINE GROVE KY 40175

Officer/Director/Trustee Two

ALICIA LANFORD
SECRETARY
531 ROUNDTOP
ELIZABETHTOWN KY 42701

Officer/Director/Trustee Three

JESSICA GRAHAM
TREASURER
200 WEST DIXIE AVENUE
ELIZABETHTOWN KY 42701

Officer/Director/Trustee Four

STEVE BROWN
VICE PRESIDENT
2516 BRIDGESTONE
ELIZABETHTOWN KY 42701

Officer/Director/Trustee Five

PETER GRAY
DIRECTOR
699 BLACK JACK ROAD
RADCLIFF KY 40160

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 4/13/99
Organization Incorporation State KY
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code L20 - Housing Development, Construction, Management
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 No
Benefit of College No
Private Foundation 508(e) Yes
Seeking Retroactive Reinstatement No
Seeking Section 7 Reinstatement No
Correctness Declaration Yes
Signature Name SHERMAN TEBAULT
Signature Title PRESIDENT/CHAIRMAN
Signature Date 4/30/19

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