FORM 1023-EZ for CYNTHIANA-HARRISON COUNTY CHAMBER FOUNDATION INC

Field Data
EIN 83-3420902
Case Number EO-2019039-000563
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name CYNTHIANA-HARRISON COUNTY CHAMBER FOUNDATION INC
Organization’s Mailing Address 141 EAST PIKE STREET SUITE 3
City CYNTHIANA
State KY
ZIP 41031
Accounting period End 12
Primary contact name TOMI J CLIFFORD
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

TOMI CLIFFORD
DIRECTOR
142 KENDALL BRANCH RD
CYNTHIANA KY 41031-1500

Officer/Director/Trustee Two

LENORA KINNEY
BOARD MEMBER
208 SOUTH ELMARCH
CYNTHIANA KY 41031-1500

Officer/Director/Trustee Three

KAREN WALTER
BOARD CHAIR
3184 NEW LAIR RD
CYNTHIANA KY 41031-1500

Officer/Director/Trustee Four

AUSTIN DACCI
BOAR
309 EAST PLEASANT
CYNTHIANA KY 41031-1500

Officer/Director/Trustee Five

BONNIE TEATER
BOARD MEMBER
629 WAITS RD
CYNTHIANA KY 41031-1500

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 1/22/19
Organization Incorporation State KY
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code A12 - Fund Raising and/or Fund Distribution
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 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 Yes
Benefit of College No
Private Foundation 508(e) No
Seeking Retroactive Reinstatement No
Seeking Section 7 Reinstatement No
Correctness Declaration Yes
Signature Name TOMI CLIFFORD
Signature Title DIRECTOR
Signature Date 2/4/19

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