FORM 1023-EZ for COMMUNITY RESPONSE COALITION OF KENTUCKY INC

Field Data
EIN 84-2433939
Case Number EO-2019206-000133
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name COMMUNITY RESPONSE COALITION OF KENTUCKY INC
Organization’s Mailing Address 237 TAHOMA ROAD
City LEXINGTON
State KY
ZIP 40503-2051
Accounting period End 12
Primary contact name DOMINIQUE OLBERT
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

DOMINIQUE OLBERT
PRESIDENT AND DIRECTOR
237 TAHOMA ROAD
LEXINGTON KY 40503-2051

Officer/Director/Trustee Two

JODY LAMBERT
TREASURER AND SECRETARY
102 PINEHURST COURT
GEORGETOWN KY 40324-9536

Officer/Director/Trustee Three

MARILYN DANIEL
VICE-PRESIDENT AND DIRECTOR
3935 CUMMINS FERRY ROAD
VERSAILLES KY 40383-9672

Officer/Director/Trustee Four

RICK CLEWETT
DIRECTOR
225 ABERDEEN DRIVE
LEXINGTON KY 40517-1301

Officer/Director/Trustee Five

NONE NONE
NONE
NONE
NONE KY 0

Organization’s website CRC4ME.ORG
Organization’s email CRC4ME@ICLOUD.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 7/16/19
Organization Incorporation State KY
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code P60 - Emergency Assistance (Food, Clothing, Cash)
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 Yes
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 DOMINIQUE OLBERT
Signature Title PRESIDENT AND DIRECTOR
Signature Date 7/23/19

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