FORM 1023-EZ for GOLD VAULT CHAPTER OF THE ROCKS INC

Field Data
EIN 47-4820028
Case Number EO-2015254-000338
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name GOLD VAULT CHAPTER OF THE ROCKS INC
Organization’s Mailing Address PO BOX 672
City FORT KNOX
State KY
ZIP 40121
Accounting period End 12
Primary contact name KRISTINA CLARK
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

MICHEAL MCCLENDON
PRESIDENT
1424 UNIT B 4TH AVE
FORT KNOX KY 40121

Officer/Director/Trustee Two

TILISHA LOCKLEY
ADMIN VICE PRESIDENT
617 WIND BROOK DRIVE
ELIZABETHTOWN KY 42701

Officer/Director/Trustee Three

VERNON WILLIAMS
OPS VICE PRESIDENT
600 SNYDER WAY 185
RADCLIFF KY 40160

Officer/Director/Trustee Four

ROBIN EVANS
SECRETARY
310 MEDLEY COURT
VINE GROVE KY 40121

Officer/Director/Trustee Five

KRISTINA CLARK
TREASURER
314 CASTLETON COURT
VINE GROVE KY 40175

Organization’s website WWW.ROCKSINC.ORG
Organization’s email
Organization Incorporated No
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 8/8/2015
Organization Incorporation State KY
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code S80 - Community Service Clubs
Organization’s purpose Charitable: No
Religious: No
Educational: Yes
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 Yes
Correctness Declaration Yes
Signature Name
Signature Title
Signature Date

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