FORM 1023-EZ for DAVID HEARD MEMORIAL FISHING TOURNAMENT INC

Field Data
EIN 81-3537979
Case Number EO-2018128-001116
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name DAVID HEARD MEMORIAL FISHING TOURNAMENT INC
Organization’s Mailing Address 2517 LARMON MILL RD
City ALVATON
State KY
ZIP 42122
Accounting period End 9
Primary contact name LARRY C HOWLETT FORM 2848
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

SAM KIRTLEY
PRESIDENT
1869 LARMON MILL RD
ALVATON KY 42122

Officer/Director/Trustee Two

THERESA CLARK
SECRETARY
167 HERITAGE AV
BOWLING GREEN KY 42104

Officer/Director/Trustee Three

MARCI HEARD
TREASURER
2517 LARMON MILL RD
ALVATON KY 42122

Officer/Director/Trustee Four

HEATHER KIRTKEY
DIRECTOR
1869 LARMON MILL RD
ALVATON KY 42122

Officer/Director/Trustee Five

MARK HEARD
DIRECTOR
2517 LARMON MILL RD
ALVATON KY 42122

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 3/23/18
Organization Incorporation State KY
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code M40 - Safety Education
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 SAM KIRTLEY
Signature Title PRESIDENT
Signature Date 5/4/18

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