FORM 1023-EZ for VINE GROVE - OWENSBORO APPALACHIANRELIEF INC

Field Data
EIN 84-3653228
Case Number EO-2020055-000644
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name VINE GROVE - OWENSBORO APPALACHIANRELIEF INC
Organization’s Mailing Address 500 MILIMISH ROAD
City VINE GROVE
State KY
ZIP 40175
Accounting period End 12
Primary contact name CHARLES E JONES
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

CHARLES JONES
DIRECTOR
500 MILIMISH LANE
VINE GROVE KY 40175

Officer/Director/Trustee Two

ELIZABETH JONES
DIRECTOR
500 MILIMISH LANE
VINE GROVE KY 40175

Officer/Director/Trustee Three

JAMES ROBERTS
DIRECTOR
209 BON HARBOR HILLS
OWENSBORO KY 42301

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 9/24/2019
Organization Incorporation State KY
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code W19 - Nonmonetary Support 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 CHARLES JONES
Signature Title DIRECTOR
Signature Date 2/21/2020

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