FORM 1023-EZ for BIG SANDY LGBT SAFE ZONE INC

Field Data
EIN 83-1846246
Case Number EO-2018277-000048
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name BIG SANDY LGBT SAFE ZONE INC
Organization’s Mailing Address 566 DENVER BRANCH
City HAGERHILL
State KY
ZIP 41222
Accounting period End 12
Primary contact name ROBERT KYLE MAY
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

ROBERT MAY
PRESIDENT
566 DENVER BR
HAGERHILL KY 41222

Officer/Director/Trustee Two

RACHEL HILL
SECRETARY
72 MUSIC ST 2
PRESTONSBURG KY 41653

Officer/Director/Trustee Three

KATHERINE CLEVENGER
TREASURER
208 MERLIN TAULBEE RD
ROYALTON KY 41464

Organization’s website
Organization’s email BIGSANDYSAFEZONE@GMAIL.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 10/1/18
Organization Incorporation State KY
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code R26 - Lesbian, Gay Rights
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 ROBERT MAY
Signature Title PRESIDENT
Signature Date 10/2/18

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