FORM 1023-EZ for CARDINAL VALLEY NEIGHBORHOOD ASSOCIATION

Field Data
EIN 31-1594413
Case Number EO-2021096-001490
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name CARDINAL VALLEY NEIGHBORHOOD ASSOCIATION
Organization’s Mailing Address PO 8776
City LEXINGTON
State KY
ZIP 40533-8787
Accounting period End 12
Primary contact name JAN MOORE
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

JAN MOORE
PRESIDENT
1917 DUNKIRK DRIVE
LEXINGTON KY 40504

Officer/Director/Trustee Two

LANE BOLDMAN
SECRETARY
114 WOODFORD
LEXINGTON KY 40504

Officer/Director/Trustee Three

PEGGY HENSON
TREASURER
143 GARRETT
LEXINGTON KY 40504

Officer/Director/Trustee Four

LARRY TRIVETTE
VICE PRESIDENT
1640 BRITTANY
LEXINGTON KY 40504

Officer/Director/Trustee Five

MARY JOHNS
BOARD
2092 DEAUVILLE
LEXINGTON KY 40504

Organization’s website
Organization’s email CARDINALVALLEYNEIGHBORHOOD@GMAIL.COM
Organization Incorporated No
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 5/23/1994
Organization Incorporation State KY
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code P11 - Single Organization Support
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 No
Benefit of College No
Private Foundation 508(e) Yes
Seeking Retroactive Reinstatement No
Seeking Section 7 Reinstatement No
Correctness Declaration Yes
Signature Name JAN MOORE
Signature Title PRESIDENT
Signature Date 3/10/2021

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