FORM 1023-EZ for AGENCY

Field Data
EIN 35-2571722
Case Number EO-2016351-000375
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name AGENCY
Organization’s Mailing Address 1709 RYAN AVE
City MURRAY
State KY
ZIP 42071
Accounting period End 8
Primary contact name MATTHEW BLAKE PATTON
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

MATTHEW PATTON
PRESIDENT CEO
632 N 12TH STREET
MURRAY KY 42071

Officer/Director/Trustee Two

CHAD THOMPSON
VICE PRESIDENT
1709 RYAN AVE
MURRAY KY 42071

Officer/Director/Trustee Three

CHARLES GRAVES
TREASURER
1208 SOUTH 16TH STREET
MURRAY KY 42071

Organization’s website
Organization’s email AGENCYINCORPORATED@GMAIL.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 3/8/2016
Organization Incorporation State KY
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code A6C - Music Groups, Bands, Ensembles
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 Yes
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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