FORM 1023-EZ for LEVANTA INC

Field Data
EIN 47-4454171
Case Number EO-2018096-000111
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name LEVANTA INC
Organization’s Mailing Address 1175 KARLA DR
City PARIS
State KY
ZIP 40361
Accounting period End 12
Primary contact name CYNTHIA BOHEN
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

CYNTHIA BOHEN
PRESIDENT
PO BOX 1322
MOREHEAD KY 40351

Officer/Director/Trustee Two

JAMES HUMPHRIES
DIRECTOR
1175 KARLA DR
PARIS KY 40361

Officer/Director/Trustee Three

MARY PHILLIPS
DIRECTOR
601 C THOMPSON RD
MOREHEAD KY 40351

Officer/Director/Trustee Four

JACKIE QUALLS
DIRECTOR
807 W SUN ST
MOREHEAD KY 40351

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 6/30/15
Organization Incorporation State KY
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code P20 - Human Service Organizations - Multipurpose
Organization’s purpose Charitable: Yes
Religious: Yes
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 No
Conducting Activities Outside of United States Yes
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 JAMES HUMPHRIES
Signature Title DIRECTOR
Signature Date 4/4/18

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