FORM 1023-EZ for ADONIJAH PLACE INC

Field Data
EIN 84-4257633
Case Number EO-2020027-000451
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name ADONIJAH PLACE INC
Organization’s Mailing Address 300 KEELING LANE
City TAYLORSVILLE
State KY
ZIP 40071
Accounting period End 12
Primary contact name TRACEY R TENNILL
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

TRACEY TENNILL
PRESIDENT
300 KEELING LANE
TAYLORSVILLE KY 40071

Officer/Director/Trustee Two

AARON WALKER
VICE PRESIDENT
417 OLD VEECHDALE ROAD
SIMPSONVILLE KY 40067

Officer/Director/Trustee Three

PATSY BAILEY
SECRETARY
311 CARL LAY LANE
HARRODSBURG KY 40330

Officer/Director/Trustee Four

RENITA WALKER
TREASURER
417 OLD VEECHDALE ROAD
SIMPSONVILLE KY 40067

Officer/Director/Trustee Five

CLAYTON WALKER
TECH SECURITY
417 OLD VEECHDALE ROAD
SHELBYVILLE KY 40065

Organization’s website
Organization’s email ADONIJAHPLACE@GMAIL.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 1/3/2020
Organization Incorporation State KY
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code P82 - Developmentally Disabled Centers, Services
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 Yes
Benefit of College No
Private Foundation 508(e) No
Seeking Retroactive Reinstatement No
Seeking Section 7 Reinstatement No
Correctness Declaration Yes
Signature Name TRACEY TENNILL
Signature Title PRESIDENT
Signature Date 1/24/2020

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