FORM 1023-EZ for PHOENIX RISING OF LEXINGTON KENTUCKY INC

Field Data
EIN 81-3470585
Case Number EO-2017011-000278
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name PHOENIX RISING OF LEXINGTON KENTUCKY INC
Organization’s Mailing Address P O BOX 11834
City LEXINGTON
State KY
ZIP 40578-1834
Accounting period End 6
Primary contact name HOWARD MYERS
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

BECKY RYDER
PRESIDENT
622 NAKOMI DRIVE
LEXINGTON KY 40503

Officer/Director/Trustee Two

LEWIS BROWN
VICE PRESIDENT
1570 MONTROSE DRIVE
LEXINGTON KY 40511

Officer/Director/Trustee Three

THOMAS TOLLIVER
SECRETARY
335 THIRD STREET
LEXINGTON KY 40508

Officer/Director/Trustee Four

HOWARD MYERS
TREASURER
273 SOUTH ASHLAND AVENUE
LEXINGTON KY 40502

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 8/1/2016
Organization Incorporation State KY
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code B01 - Alliance/Advocacy Organizations
Organization’s purpose Charitable: No
Religious: No
Educational: Yes
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
Signature Title
Signature Date

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