FORM 1023-EZ for NEW LEAF DEVELOPMENT

Field Data
EIN 81-2813203
Case Number EO-2016251-000421
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name NEW LEAF DEVELOPMENT
Organization’s Mailing Address 622 SANFORD ST APT 4
City COVINGTON
State KY
ZIP 41011
Accounting period End 12
Primary contact name SAMUEL ARES
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

CALEB BELANGER
PRESIDENT AND EXECUTIVE DIRECTOR
14685 Aulick Rd
Butler KY 41006

Officer/Director/Trustee Two

SAMUEL ARES
CHIEF EXECUTIVE OFFICER
14685 AULICK RD
BUTLER KY 41006

Officer/Director/Trustee Three

ALEXANDER LEFLER
BOARD MEMBER
622 SANFORD ST APT 4
COVINGTON KY 41011

Officer/Director/Trustee Four

BREANNA LEFLER
BOARD MEMBER
622 SANFORD ST APT 4
COVINGTON KY 41011

Officer/Director/Trustee Five

ANDREW LEFLER
BOARD MEMBER
622 SANFORD ST APT 4
COVINGTON KY 41011

Organization’s website WWW.NEWLEAFCHANGE.COM
Organization’s email INFO@NEWLEAFCHANGE.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 6/2/2016
Organization Incorporation State KY
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code S30 - Economic Development
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 Yes
Donation of funds Yes
Conducting Activities Outside of United States Yes
Financial transactions with officers Yes
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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