FORM 1023-EZ for CASA OF CHRISTIAN COUNTY

Field Data
EIN 82-5425373
Case Number EO-2018128-001008
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name CASA OF CHRISTIAN COUNTY
Organization’s Mailing Address P O BOX 24 209 EAST 14TH ST
City HOPKINSVILLE
State KY
ZIP 42240-24
Accounting period End 6
Primary contact name TINA NEWBY
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

LINDA FARMER
DIRECTOR
13502 N GREENVILLE RD
CROFTON KY 42217

Officer/Director/Trustee Two

LESLEY CARROLL
DIRECTOR
3795 WITTY LANE
HOPKINSVILLE KY 42240

Officer/Director/Trustee Three

RUTH LYNCH
DIRECTOR
145 ROMEO DR
HOPKINSVILLE KY 42240

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 4/27/18
Organization Incorporation State KY
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code O01 - Alliance/Advocacy Organizations
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 LESLEY CARROLL
Signature Title DIRECTOR
Signature Date 5/3/18

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