FORM 1023-EZ for FACTOR M4-6 INCORPORATED

Field Data
EIN 47-3776593
Case Number EO-2016026-000123
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name FACTOR M4-6 INCORPORATED
Organization’s Mailing Address P O BOX 434
City BOWLING GREEN
State KY
ZIP 42102
Accounting period End 12
Primary contact name RUTH FRASER
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

JACKIE LUSK
TREASURER
111 SYLVAN CT
NASHVILLE KY 37209

Officer/Director/Trustee Two

JOE ANN GARY
SECRETARY
1100 RICH POND RD
BOWLING GREEN KY 42104

Officer/Director/Trustee Three

RUTH FRASER
PRESIDENT
351 BRIGGS HILL RD
BOWLING GREEN KY 42101

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 4/1/2015
Organization Incorporation State KY
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code S20 - Community, Neighborhood Development, Improvement (General)
Organization’s purpose Charitable: Yes
Religious: Yes
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 No
Correctness Declaration Yes
Signature Name
Signature Title
Signature Date

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