FORM 1023-EZ for CASA OF KNOX AND LAUREL COUNTIES INCORPORATED

Field Data
EIN 82-3136447
Case Number EO-2017324-000154
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name CASA OF KNOX AND LAUREL COUNTIES INCORPORATED
Organization’s Mailing Address PO BOX 3156
City LONDON
State KY
ZIP 40743
Accounting period End 12
Primary contact name ROBERT ABNER
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

CAROLYN SMITH
CHAIRMAN
247 JACKSON-FARISTON ROAD
LONDON KY 40744

Officer/Director/Trustee Two

HILLARY MORRIS
VICE-CHAIRMAN
PO BOX 2215
LONDON KY 40743

Officer/Director/Trustee Three

ROBERT ABNER
TREASURER
PO BOX 901
LONDON KY 40743

Officer/Director/Trustee Four

NORMA THOMAS
SECRETARY
815 JH THOMAS ROAD
ANNVILLE KY 40402

Officer/Director/Trustee Five

DONNA CORNETT
DIRECTOR
148 SHELBY BROOKS LANE
LONDON KY 40744

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 11/2/2017
Organization Incorporation State KY
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code P30 - Children's, Youth Services
Organization’s purpose Charitable: No
Religious: No
Educational: No
Scientific: No
Literary: No
Public Safety: No
Amateur Sports: No
Cruelty Prevention: Yes
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 No
One Third Support Gifts Yes
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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