FORM 1023-EZ for KENTUCKY EPILEPSY COALITION INC

Field Data
EIN 84-4520539
Case Number EO-2020049-000442
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name KENTUCKY EPILEPSY COALITION INC
Organization’s Mailing Address 4180 WATERTRACE DR
City LEXINGTON
State KY
ZIP 40515
Accounting period End 12
Primary contact name LAUREEN VASSIL
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

LAUREEN VASSIL
PRESIDENT
4180 WATERTRACE DR
LEXINGTON KY 40515

Officer/Director/Trustee Two

RICHARD STOFER
VICE PRESIDENT
3005 ARROWHEAD DR
LEXINGTON KY 40503

Officer/Director/Trustee Three

RACHEL WARD MITCHELL
SECRETARY AND TREASURER
667 ELSMERE PARK
LEXINGTON KY 40508

Officer/Director/Trustee Four

DAVID WITTMER
BOARD MEMBER
1000 FORDS MILL RD
VERSAILLES KY 40383

Organization’s website KYEPILEPSYCOALITION.COM
Organization’s email LMVASSIL@GMAIL.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 1/30/2020
Organization Incorporation State KY
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code G54 - Epilepsy
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 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 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 LAUREEN VASSIL
Signature Title PRESIDENT
Signature Date 2/14/2020

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