FORM 1023-EZ for ANDREW D KEITHLEY MAKE IT COUNT

Field Data
EIN 81-4699028
Case Number EO-2017032-000252
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name ANDREW D KEITHLEY MAKE IT COUNT
Organization’s Mailing Address 268 JAPONICA DR
City PADUCAH
State KY
ZIP 42003-9036
Accounting period End 7
Primary contact name ELIZABETH L PALMER
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

ELIZABETH PALMER
PRESIDENT
268 JAPONICA DR
PADUCAH KY 42003-9036

Officer/Director/Trustee Two

TERESA AKINS
VICE PRESIDENT
107 DRY BROOK RD
WENTZVILLE MO 63385

Officer/Director/Trustee Three

MELANIE BLAIR
TREASURER
1509 HIGHLAND VALLEY CIRCLE
CHESTERFIELD MO 63005

Officer/Director/Trustee Four

COURTNEY HOWELL
SECRETARY
4434 GARNETT ST
ST. LOUIS MO 63116

Officer/Director/Trustee Five

CHELSEA COORTS
MARKETING AND COMMUNICATIONS CHAIR
4019 GLOUCESTER RD
LOUISVILLE KY 40207

Organization’s website ADKMIC.ORG
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 1/28/2017
Organization Incorporation State MO
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code B82 - Scholarships, Student Financial Aid Services, Awards
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 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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