FORM 1023-EZ for BALLARD COUNTY UNITED APPEAL INC

Field Data
EIN 47-2192227
Case Number EO-2014304-000386
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name BALLARD COUNTY UNITED APPEAL INC
Organization’s Mailing Address 340 BROADWAY
City BARLOW
State KY
ZIP 42024
Accounting period End 12
Primary contact name DANE M BLYTHE
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

DEBORAH JONES
PRESIDENT
340 BROADWAY
BARLOW KY 42024

Officer/Director/Trustee Two

KATHE AYDLOTTE
SECRETARY
340 BROADWAY
BARLOW KY 42024

Officer/Director/Trustee Three

KELLY DAVIS
TREASURER
340 BROADWAY
BARLOW KY 42024

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 10/28/2014
Organization Incorporation State KY
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code P20 - Human Service Organizations - Multipurpose
Organization’s purpose Charitable: Yes
Religious: No
Educational: Yes
Scientific: No
Literary: Yes
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 No
Correctness Declaration Yes
Signature Name
Signature Title
Signature Date

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