FORM 1023-EZ for KENTUCKY MOTORCYCLE ASSOCIATION-KBASAFETY INSTITUTE INC

Field Data
EIN 47-3930723
Case Number EO-2015138-000076
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name KENTUCKY MOTORCYCLE ASSOCIATION-KBASAFETY INSTITUTE INC
Organization’s Mailing Address P O BOX 17407
City LOUISVILLE
State KY
ZIP 40217-0407
Accounting period End 12
Primary contact name JAY HUBER
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

JAY HUBER
DIRECTOR
P O BOX 17407
LOUISVILLE KY 40217-0407

Officer/Director/Trustee Two

KEITH ROBERTS
DIRECTOR
P O BOX 17407
LOUISVILLE KY 40217-0407

Officer/Director/Trustee Three

LISA FISCHER
DIRECTOR
P O BOX 17407
LOUISVILLE KY 40217-0407

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 1/7/2015
Organization Incorporation State KY
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code M42 - Automotive Safety
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 Yes
Conducting Activities Outside of United States No
Financial transactions with officers No
Unrelated Gross Income $1,000 or More No
Gaming Activity Yes
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
Signature Title
Signature Date

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