FORM 1023-EZ for FIREBROOK COMMUNITY PARK BOARD INC

Field Data
EIN 84-4813529
Case Number EO-2020056-000152
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name FIREBROOK COMMUNITY PARK BOARD INC
Organization’s Mailing Address 1528 FERRY ROAD
City SOMERSET
State KY
ZIP 42503
Accounting period End 6
Primary contact name LISA PHELPS
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

LISA PHELPS
PRESIDENT
15
SOMERSET KY 42503

Officer/Director/Trustee Two

ANDREA CLUE
VICE PRESIDENT
435 WHITE TAIL RUN
SOMERSET KY 42503

Officer/Director/Trustee Three

ARDEN TURNER
SECRETARY
64 WHITE TAIL RUN
SOMERSET KY 42503

Officer/Director/Trustee Four

WES HAMPTON
TREASURER
166 HIDDEN SPRINGS DRIVE
SOMERSET KY 42503

Officer/Director/Trustee Five

DANIEL HICKS
BOARD MEMBER
110 HIDDEN LOOP DRIVE
SOMERSET KY 42503

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 1/1/2020
Organization Incorporation State KY
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code N32 - Parks and Playgrounds
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 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 LISA PHELPS
Signature Title PRESIDENT
Signature Date 2/21/2020

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