FORM 1023-EZ for THE AMERICAN DEMOCRACY FOR SOCIAL INDEPENDENCE OF THE HEARTLAND

Field Data
EIN 80-0250259
Case Number EO-2018249-000100
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name THE AMERICAN DEMOCRACY FOR SOCIAL INDEPENDENCE OF THE HEARTLAND
Organization’s Mailing Address 301 KEENELAND DRIVE A
City ELIZABETHTOWN
State KY
ZIP 42701
Accounting period End 12
Primary contact name HARRISON ISOM
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

MARY ISOM
FOUNDER/CHIEF OPERATING OFFICER
301 KEENELAND DRIVE A
ELIZABETHTOWN KY 42701

Officer/Director/Trustee Two

HARRISON ISOM
CHIEF OPERATOR OF FINANCE
301 KEENELAND DRIVE APT A
ELIZABETHTOWN KY 42701

Officer/Director/Trustee Three

ADONNIS ISOM
COMMUNICATIONS DIRECTOR
212 MELANIE LANE
ELIZABETHTOWN KY 42701

Officer/Director/Trustee Four

EDWARD ROBERTSON
TRUSTEE
3280 BARDSTOWN ROAD
ELIZABETHTOWN KY 42701

Officer/Director/Trustee Five

CURTIS BRADLEY
TRUSTEE
405 WESTPORT ROAD
ELIZABETHTOWN KY 42701

Organization’s website
Organization’s email
Organization Incorporated No
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 2/20/18
Organization Incorporation State KY
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code R01 - Alliance/Advocacy Organizations
Organization’s purpose Charitable: Yes
Religious: No
Educational: Yes
Scientific: No
Literary: No
Public Safety: Yes
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 Yes
Unrelated Gross Income $1,000 or More No
Gaming Activity No
Disaster relief assistance Yes
One Third Support Public Yes
One Third Support Gifts No
Benefit of College No
Private Foundation 508(e) No
Seeking Retroactive Reinstatement No
Seeking Section 7 Reinstatement No
Correctness Declaration Yes
Signature Name HARRISON ISOM
Signature Title CHIEF OPERATOR OF FINANCE
Signature Date 9/3/18

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