FORM 1023-EZ for MILLER-HALCOMB FOUNDATION

Field Data
EIN 82-5524200
Case Number EO-2018136-000324
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name MILLER-HALCOMB FOUNDATION
Organization’s Mailing Address 230 GUY BROWN RD
City SCOTTSVILLE
State KY
ZIP 42164
Accounting period End 12
Primary contact name JANET MILLER
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

JANET MILLER
PRESIDENT/TREASURER
215 FRANKLIN ROAD
SCOTTSVILLE KY 42164

Officer/Director/Trustee Two

RONNIE KEEN
CHAIRPERSON
2791 FRANKLIN RD
SCOTTSVILLE KY 42164

Organization’s website
Organization’s email
Organization Incorporated No
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 5/10/18
Organization Incorporation State KY
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code S50 - Nonprofit Management
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 JANET MILLER
Signature Title PRESIDENT/TREASURER
Signature Date 5/11/18

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