FORM 1023-EZ for CHI EPSILON - 058 UNIVERSITY OF KENTUCKY

Field Data
EIN 61-6041497
Case Number EO-2016095-000380
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name CHI EPSILON - 058 UNIVERSITY OF KENTUCKY
Organization’s Mailing Address BOX 19316
City ARLINGTON
State TX
ZIP 76019-0316
Accounting period End 6
Primary contact name GLENN C GOSS
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

MACY PURCELL
PRESIDENT
508 ADMINISTRATION DRIVE
LEXINGTON KY 40506-0281

Officer/Director/Trustee Two

EVAN WILLETT
VICE PRESIDENT
508 ADMINISTRATION DRIVE
LEXINGTON KY 40506-0281

Officer/Director/Trustee Three

JARROD JOHNSON
SECRETARY
508 ADMINISTRATION DRIVE
LEXINGTON KY 40506-0281

Officer/Director/Trustee Four

SAMANTHA SKILES
TREASURER
508 ADMINISTRATION DRIVE
LEXINGTON KY 40506-0281

Officer/Director/Trustee Five

GLENN GOSS
EXECUTIVE SECRETARY
BOX 19316
ARLINGTON TX 76019-0316

Organization’s website
Organization’s email XEHQ@CHI-EPSILON.ORG
Organization Incorporated No
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 8/1/1962
Organization Incorporation State KY
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code B03 - Professional Societies, Associations
Organization’s purpose Charitable: No
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 Yes
Correctness Declaration Yes
Signature Name
Signature Title
Signature Date

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