FORM 1023-EZ for SOS SUPPORT OUR SENIORS

Field Data
EIN 82-1558844
Case Number EO-2018107-000877
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name SOS SUPPORT OUR SENIORS
Organization’s Mailing Address 5109 ROCK WATER DR
City LOUISVILLE
State KY
ZIP 40241
Accounting period End 12
Primary contact name DWIGHT ANTONIO COSBY
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

PHYLLIS KLUDAC
PRESIDENT
5109 ROCK WATER DR
LOUISVILLE KY 40241

Officer/Director/Trustee Two

BILL RUNKEL
TREASURER
3564 LAFAYETTE PKWY
FLOYD KNOBS IN 47119

Officer/Director/Trustee Three

DWIGHT COSBY
SECRETARY
11802 DUANE POINT CIRCLE APT 204
LOUISVILLE KY 40243

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 1/31/18
Organization Incorporation State KY
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code S11 - 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 PHYLLIS KLUDAC
Signature Title PRESIDENT
Signature Date 3/29/18

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