FORM 1023-EZ for NORTHERN KENTUCKY VETERANS TREATMENT COURT PEER MENTOR PROGRAM INC

Field Data
EIN 84-3019653
Case Number EO-2020273-000698
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name NORTHERN KENTUCKY VETERANS TREATMENT COURT PEER MENTOR PROGRAM INC
Organization’s Mailing Address 1717 DIXIE HIGHWAY - SUITE 910
City COVINGTON
State KY
ZIP 41011-2766
Accounting period End 12
Primary contact name KAREN CRADDOCK
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

ROBERT MCBRIDE
PRESIDENT
1717 DIXIE HIGHWAY-SUITE 910
COVINGTON KY 41011-2766

Officer/Director/Trustee Two

KAREN CRADDOCK
VICE PRESIDENT
330 YORK STREET
NEWPORT KY 41071-1651

Officer/Director/Trustee Three

THOMAS VOLLMAR
SECRETARY
978 RIVERWATCH DRIVE
VILLA HILLS KY 41017-4441

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 4/3/2019
Organization Incorporation State KY
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code F11 - Single Organization Support
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 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 ROBERT MCBRIDE
Signature Title PRESIDENT
Signature Date 9/25/2020

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