FORM 1023-EZ for CEDAR GROVE COMMUNITY CAMPUS

Field Data
EIN 45-2982606
Case Number EO-2015288-000161
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name CEDAR GROVE COMMUNITY CAMPUS
Organization’s Mailing Address 731 EAST 2ND STREET
City HOPKINSVILLE
State KY
ZIP 42240
Accounting period End 12
Primary contact name HENRY SNORTON III
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

NORRIS MILLS
EXECUTIVE
1100 PYLE LANE
HOPKINSVILLE KY 42240

Officer/Director/Trustee Two

MONICA MOORE
TREASURER
1761 CRESTVIEW DRIVE
CLARKSVILLE TN 37042

Officer/Director/Trustee Three

DEBORAH BAKER
CHAIRPERSON
813 CENTRAL AVENUE
HOPKINSVILLE TN 42240

Officer/Director/Trustee Four

HENRY SNORTON III
VICE CHAIRPERSON
PO BOX 1298
HOPKINSVILLE KY 42240

Officer/Director/Trustee Five

PATRICIA EVANS
ACTING SECRETARY, DIRECTOR
310 WOODLAWN DRIVE
HOPKINSVILLE KY 42240

Organization’s website N/A
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 1/11/2011
Organization Incorporation State KY
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code W99 - Public, Society Benefit - Multipurpose and Other N.E.C.
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 Yes
One Third Support Gifts No
Benefit of College No
Private Foundation 508(e) No
Seeking Retroactive Reinstatement No
Seeking Section 7 Reinstatement Yes
Correctness Declaration Yes
Signature Name
Signature Title
Signature Date

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