FORM 1023-EZ for GRAEFENBURG COMMUNITY CEMETERY LLC

Field Data
EIN 47-4463447
Case Number EO-2015201-000225
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name GRAEFENBURG COMMUNITY CEMETERY LLC
Organization’s Mailing Address 120 JEPTHA KNOB RD
City SHELBYVILLE
State KY
ZIP 40065-9428
Accounting period End 12
Primary contact name JUETT D STUCKER SR
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

GROVER HILL
BOARD MEMBER
10389 FRANKFORT RD
WADDY KY 40076

Officer/Director/Trustee Two

DAWN CASPER
BOARD MEMBER
10825 FRANKFORT RD
WADDY KY 40076

Officer/Director/Trustee Three

DOUG SMITH
BOARD MEMBER
394 ELMBURG RD
SHELBYVILLE KY 40065

Officer/Director/Trustee Four

DONALD SLUCHER
BOARD MEMBER
10759 FRANKFORT RD
WADDY KY 40076

Officer/Director/Trustee Five

JUETT D STUCKER SR
BOARD MEMBER/CHAIRPERSON
120 JEPTHA KNOB RD
SHELBYVILLE KY 40065-9428

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 7/10/2015
Organization Incorporation State KY
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code T23 - Private Operating Foundations
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
Signature Title
Signature Date

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