FORM 1023-EZ for CVMA KY 1-1 THE ORIGINAL CHAPTER INC

Field Data
EIN 47-4933417
Case Number EO-2017048-000123
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name CVMA KY 1-1 THE ORIGINAL CHAPTER INC
Organization’s Mailing Address 221 BOULDER DRIVE
City ELIZABETHTOWN
State KY
ZIP 42701-5108
Accounting period End 6
Primary contact name GREGORY C PACHNIAK
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

ARLISS JOHNSON
CHAPTER COMMANDER
201 RED OAK STREET
CORBIN KY 40701-8769

Officer/Director/Trustee Two

GREGORY PACHNIAK
TREASURER
221 BOULDER DRIVE
ELIZABETHTOWN KY 42701-5108

Officer/Director/Trustee Three

JEFF ACOB
CHAPTER XO
5961 EAST MANSLICK ROAD
LOUISVILLE KY 40219-5250

Officer/Director/Trustee Four

MIKE WHEELER
SECRETARY
7408 HWY79
GUSTON KY 40142-7091

Officer/Director/Trustee Five

JOHN HANSEN
SGT ARMS
555 AIRPORT ROAD
PINE KNOT KY 42635-9146

Organization’s website KYGOOGLEGROUPS1-1
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 9/24/2015
Organization Incorporation State KY
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code W30 - Military, Veterans' Organizations
Organization’s purpose Charitable: Yes
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 Yes
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
Signature Title
Signature Date

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