FORM 1023-EZ for PADUCAH LGBT WELCOME CENTER INC

Field Data
EIN 84-2687179
Case Number EO-2019252-000453
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name PADUCAH LGBT WELCOME CENTER INC
Organization’s Mailing Address 119 RAC MER CT
City PADUCAH
State KY
ZIP 42003
Accounting period End 8
Primary contact name DUSTIN HAVENS
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

DONNA RILEY
PRESIDENT / CHAIRPERSON OF THE BOAR
131 REID CIRCLE APT 10
PADUCAH KY 42003

Officer/Director/Trustee Two

TAMMY SILLS
VICE PRESIDENT OF THE BOARD
314 N 6TH STREET
PADICAH KY 42001

Officer/Director/Trustee Three

NANCY HUGHES
TREASURER OF THE BOARD
309 BROADWAY
PADUCAH KY 42001

Officer/Director/Trustee Four

MITZI KIRKWOOD
SECRETARY OF THE BOARD
600 BROADWAY APT 812
PADUCAH KY 42001

Officer/Director/Trustee Five

ANGEL SIMS
MEMBER AT LARGE
314 BROADWAY
PADUCAH KY 42001

Organization’s website WWW.PADUCAH.LGBT
Organization’s email DHAVENS@PADUCAH.LGBT
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 8/4/19
Organization Incorporation State KY
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code R26 - Lesbian, Gay Rights
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 DONNA RILEY
Signature Title PRESIDENT / CHAIRPERSON OF THE BOAR
Signature Date 9/6/19

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