FORM 1023-EZ for OAK GROVE COMMUNITY CARES INCORPORATED

Field Data
EIN 47-3365463
Case Number EO-2015156-000172
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name OAK GROVE COMMUNITY CARES INCORPORATED
Organization’s Mailing Address P O BOX 923
City OAK GROVE
State KY
ZIP 42262
Accounting period End 12
Primary contact name NICOLE MCMAHON
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

THERESA JARVIS
PRESIDENT
PO BOX 923
OAK GROVE KY 42262

Officer/Director/Trustee Two

NICOLE MCMAHON
TREASURER/CFO
PO BOX 923
OAK GROVE KY 42262

Officer/Director/Trustee Three

JOHN RODGERS
VICE PRESIDENT
PO BOX 923
OAK GROVE KY 42262

Officer/Director/Trustee Four

MIKE JONES
SECRETARY
PO BOX 923
OAK GROVE KY 42262

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 4/2/2015
Organization Incorporation State KY
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code T12 - Fund Raising and/or Fund Distribution
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
Signature Title
Signature Date

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