FORM 1023-EZ for BAN CONVERSION THERAPY KENTUCKY INC
| Field | Data |
|---|---|
| EIN | 85-3617839 |
| Case Number | EO-2020317-000399 |
| Form 1023-EZ version | 12018 |
| Eligibility Worksheet | 1 |
| Organization Name | BAN CONVERSION THERAPY KENTUCKY INC |
| Organization’s Mailing Address | 5700 DOGWOOD BLVD |
| City | LOUISVILLE |
| State | KY |
| ZIP | 40299 |
| Accounting period End | 12 |
| Primary contact name | JACOB R CONWAY |
| Primary contact phone | [Hidden] |
| Primary contact phone extension | [Hidden] |
| Primary contact fax | [Hidden] |
| User fee submitted | $275.00 |
Officer/Director/Trustee One
TANNER MOBLEY
DIRECTOR
7502 TEMPSCLAIR ROAD
LOUISVILLE KY 40220
Officer/Director/Trustee Two
JACOB CONWAY
DIRECTOR
5700 DOGWOOD BLVD
LOUISVILLE KY 40299
Officer/Director/Trustee Three
LARAH HELAYNE
DIRECTOR
395 FAWNS LANE
MOUNT STERLING KY 40353
| Organization’s website | HTTP://BANCONVERSIONTHERAPYKY.ORG/ |
|---|---|
| Organization’s email | JACOB.BCTK@GMAIL.COM |
| Organization Incorporated | Yes |
| Organization trust | No |
| Necessary Organizing Documents | Yes |
| Organization Incorporation Date | 10/8/2020 |
| Organization Incorporation State | KY |
| Contains Limitation | Yes |
| Does not expressly empower | Yes |
| Contains dissolution | Yes |
| National Taxonomy of Exempt Entities (NTEE) code | B01 - Alliance/Advocacy Organizations |
| Organization’s purpose | Charitable: No Religious: No Educational: Yes Scientific: No Literary: No Public Safety: No Amateur Sports: No Cruelty Prevention: Yes |
| Qualify For Exemption | No |
| Legislation influence | Yes |
| Compensation of Officer director trustee | Yes |
| 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 | JACOB CONWAY |
| Signature Title | DIRECTOR |
| Signature Date | 11/9/2020 |
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