FORM 1023-EZ for LICKING VALLEY ADVENTURES INC

Field Data
EIN 84-3308976
Case Number EO-2021065-000006
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name LICKING VALLEY ADVENTURES INC
Organization’s Mailing Address 129 HUDNALL LN
City CARLISLE
State KY
ZIP 40311
Accounting period End 12
Primary contact name STEPHEN SCALF
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

JAMES SMITH
DIRECTOR
205 S MAIN ST
CYNTHIANA KY 41031-1549

Officer/Director/Trustee Two

JOHNATHAN GAY
DIRECTOR
332 RIVER BEND RD
LOUISA KY 41230-1407

Officer/Director/Trustee Three

BEN ROSCOE
DIRECTOR
2108 BROADHEAD PL
LEXINGTON KY 40515-1107

Officer/Director/Trustee Four

AMANDA KOOL
DIRECTOR
2579 WESTERN HILLS RD
FOSTER KY 41043-9487

Officer/Director/Trustee Five

BRENT FRIZELL
DIRECTOR
203 CANEY AVE
SALT LICK KY 40371-8643

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 10/22/2020
Organization Incorporation State KY
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code S99 - Community Improvement, Capacity Building N.E.C.
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 JOHNATHAN GAY
Signature Title DIRECTOR
Signature Date 1/15/2021

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