FORM 1023-EZ for SOMERSET HOMESCHOOL ACADEMY

Field Data
EIN 82-5454497
Case Number EO-2019149-000084
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name SOMERSET HOMESCHOOL ACADEMY
Organization’s Mailing Address 3422 WOODHAVEN DR
City SOMERSET
State KY
ZIP 42503-9527
Accounting period End 6
Primary contact name TARA M RAY
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

STACY MEECE
PRESIDENT
541 DRIPPING SPRINGS CHURCH ROAD
SOMERSET KY 42501

Officer/Director/Trustee Two

TARA RAY
DIRECTOR
3422 WOODHAVEN DRIVE
SOMERSET KY 42503-9527

Officer/Director/Trustee Three

SHELLEY ALFORD
DIRECTOR
352 COUNTRYSIDE ESTATES
WAYNESBURG KY 40489

Officer/Director/Trustee Four

WHITNEY DREW
DIRECTOR
75 CARLA DRIVE
SOMERSET KY 42503

Organization’s website
Organization’s email SHA42501@GMAIL.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 4/23/18
Organization Incorporation State KY
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code B80 - Student Services, Organizations of Students
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 TARA RAY
Signature Title DIRECTOR
Signature Date 5/24/19

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