FORM 1023-EZ for SMOKETOWN ORIGINALS INC

Field Data
EIN 83-2796947
Case Number EO-2019322-000431
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name SMOKETOWN ORIGINALS INC
Organization’s Mailing Address 4402 SUNSET CIRCLE
City LOUISVILLE
State KY
ZIP 40216-3500
Accounting period End 12
Primary contact name MICHAEL BROOKS
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

MICHAEL BROOKS
PRESIDENT/CEO
4402 SUNSET CIRCLE
LOUISVILLE KY 40216-3500

Officer/Director/Trustee Two

SHARON MADDOX
ADMINISTRATOR
356 LENTZ AVENUE
MT WASHINGTON KY 40047-7437

Officer/Director/Trustee Three

BEVERLY ROBERTS-WILLIAMS
TREASURER
4013 NORTH THUMBERLAND DRIVE
LOUISVILLE KY 40245-1870

Officer/Director/Trustee Four

GAIL CARR-OBANNON
VICE PRESIDENT
4403 ABBOTT GROVE
CRESTWOOD KY 40014-8430

Officer/Director/Trustee Five

ANNETTE TILFORD-TOLLEY
SECRETARY
510 SOUTH CAMPBELL STREET
LOUISVILLE KY 40202-1011

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 11/27/18
Organization Incorporation State KY
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code S20 - Community, Neighborhood Development, Improvement (General)
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 Yes
One Third Support Gifts No
Benefit of College No
Private Foundation 508(e) No
Seeking Retroactive Reinstatement No
Seeking Section 7 Reinstatement No
Correctness Declaration Yes
Signature Name MICHAEL BROOKS
Signature Title PRESIDENT/CEO
Signature Date 11/15/19

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