FORM 1023-EZ for KENTUCKY SUPPORT AND EMPOWERMENT ASSOCIATION INC

Field Data
EIN 82-3100243
Case Number EO-2018066-000303
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name KENTUCKY SUPPORT AND EMPOWERMENT ASSOCIATION INC
Organization’s Mailing Address 808 WARFIELD PLACE
City LEXINGTON
State KY
ZIP 40505
Accounting period End 7
Primary contact name TERRI TAYLOR
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

TERRI TAYLOR
EXECUTIVE DIRECTOR
808 WARFIELD PLACE
LEXINGTON KY 40505

Officer/Director/Trustee Two

KAYLA COOK
BOARD MEMBER
808 WARFIELD PLACE
LEXINGTON KY 40505

Officer/Director/Trustee Three

JAUNICE BELL
BOARD MEMBER
808 WARFIELD PLACE
LEXINGTON KY 40505

Officer/Director/Trustee Four

JAMECIAN KENNEDY
CHEIF FINANCIAL OFFICER
808 WARFIELD PLACE
LEXINGTON KY 40505

Officer/Director/Trustee Five

KEITH WILLIAMS
BOARD MEMBER
808 WARFIELD PLACE
LEXINGTON KY 40505

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 10/13/17
Organization Incorporation State KY
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code I43 - Services to Prisoners and Families - Multipurpose
Organization’s purpose Charitable: Yes
Religious: No
Educational: Yes
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 TERRI TAYLOR
Signature Title EXECUTIVE DIRECTOR
Signature Date 3/5/18

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