FORM 1023-EZ for BOWLING GREEN EMMAUS INC

Field Data
EIN 81-2442442
Case Number EO-2016258-000225
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name BOWLING GREEN EMMAUS INC
Organization’s Mailing Address 119 RIVERWOOD AVENUE
City BOWLING GREEN
State KY
ZIP 42103
Accounting period End 12
Primary contact name DENISE COLE
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

MARK WILLIAMS
PRESIDENT/CEO/CFO
135 RED OAK LANE
SCOTTSVILLE KY 42164

Officer/Director/Trustee Two

DENISE COLE
TREASURER/CFO
119 RIVERWOOD AVENUE
BOWLING GREEN KY 42103

Officer/Director/Trustee Three

DOROTHY BRAME
CHAIRPERSON OF GOVT BODY
343 FACULTY AVENUE
BOWLING GREEN KY 42101

Officer/Director/Trustee Four

JANA THORNTON
OFFICER/DIRECTOR
1322 WESTEN STREET
BOWLING GREEN KY 42104

Officer/Director/Trustee Five

DAVID GROUT
OFFICER/DIRECTOR
716 CAVE MILLE ROAD
BOWLING GREEN KY 42104

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 8/23/2016
Organization Incorporation State KY
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code X11 - Single Organization Support
Organization’s purpose Charitable: Yes
Religious: Yes
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
Signature Title
Signature Date

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