FORM 1023-EZ for COMMUNITY INSPIRATION ORGANIZATION

Field Data
EIN 47-3364115
Case Number EO-2015127-000391
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name COMMUNITY INSPIRATION ORGANIZATION
Organization’s Mailing Address 267 E LOUDON AVENUE
City LEXINGTON
State KY
ZIP 40505
Accounting period End 12
Primary contact name VIRGINIA CALDWELL
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

VIRGINIA CALDWELL
DIRECTOR
267 E LOUDON AVENUR
LEXINGTON KY 40505

Officer/Director/Trustee Two

ANTHONY ARNOLD SR
DIRECTOR
381 ELAINE DRIVE 109
LEXINGTON KY 40504

Officer/Director/Trustee Three

WALTER TAYLOR JR
DIRECTOR
699 WREN STREET
HARRODSBURG KY 40330

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 12/24/2014
Organization Incorporation State KY
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code O20 - Youth Centers, Clubs, Multipurpose
Organization’s purpose Charitable: Yes
Religious: No
Educational: No
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
Signature Title
Signature Date

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