FORM 1023-EZ for GEORGE CALDWELL JR MEMORIAL FUND

Field Data
EIN 47-4572588
Case Number EO-2018276-000158
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name GEORGE CALDWELL JR MEMORIAL FUND
Organization’s Mailing Address 394 SPEARS ROAD
City CAMPBELLSVILLE
State KY
ZIP 42718
Accounting period End 12
Primary contact name MICHAEL CALDWELL
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

MICHAEL CALDWELL
BOARD CHAIRMAN
394 SPEARS ROAD
CAMPBELLSVILLE KY 42718

Officer/Director/Trustee Two

ROSE JONES
TREASURER
901 SOUTH COLUMBIA AVENUE
CAMPBELLSVILLE KY 42718

Officer/Director/Trustee Three

TERESSA GIBSON
SECRETARY
381 ELAINE DRIVE APT 136
LEXINGTON KY 40504

Officer/Director/Trustee Four

MIKE ASH
MEMBER
503 MAPLE STREET
CAMPBELLSVILLE KY 42718

Officer/Director/Trustee Five

ANTHONY FARRIS
MEMBER
215 WESTERN DRIVE
CAMPBELLSVILLE KY 42718

Organization’s website
Organization’s email
Organization Incorporated No
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 7/21/15
Organization Incorporation State KY
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code B82 - Scholarships, Student Financial Aid Services, Awards
Organization’s purpose Charitable: Yes
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 No
Benefit of College No
Private Foundation 508(e) Yes
Seeking Retroactive Reinstatement Yes
Seeking Section 7 Reinstatement No
Correctness Declaration Yes
Signature Name MICHAEL CALDWELL
Signature Title BOARD CHAIRMAN
Signature Date 10/1/18
EIN 47-4572588
Case Number EO-2017129-000177
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name GEORGE CALDWELL JR MEMORIAL FUND
Organization’s Mailing Address 394 SPEARS ROAD
City CAMPBELLSVILLE
State KY
ZIP 42718
Accounting period End 12
Primary contact name MICHAEL CALDWELL
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

MICHAEL CALDWELL
BOARD CHAIRMAN
394 SPEARS ROAD
CAMPBELLSVILLE KY 42718

Officer/Director/Trustee Two

ROSE JONES
TREASURER
901 SOUTH COLUMBIA AVENUE
CAMPBELLSVILLE KY 42718

Officer/Director/Trustee Three

TERESSA GIBSON
SECRETARY
1812 BLUE RIDGE DRIVE
LEXINGTON KY 40505

Officer/Director/Trustee Four

MIKE ASH
MEMBER
503 MAPLE STREET
CAMPBELLSVILLE KY 42718

Officer/Director/Trustee Five

ANTHONY FARRIS
MEMBER
215 WESTERN DRIVE
CAMPBELLSVILLE KY 42718

Organization’s website
Organization’s email
Organization Incorporated No
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 7/21/2015
Organization Incorporation State KY
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code B82 - Scholarships, Student Financial Aid Services, Awards
Organization’s purpose Charitable: Yes
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 No
Benefit of College No
Private Foundation 508(e) Yes
Seeking Retroactive Reinstatement No
Seeking Section 7 Reinstatement No
Correctness Declaration Yes
Signature Name
Signature Title
Signature Date

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