FORM 1023-EZ for LAKE CUMBERLAND BREAK AWAY PROJECT LTD

Field Data
EIN 81-4579233
Case Number EO-2017130-000363
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name LAKE CUMBERLAND BREAK AWAY PROJECT LTD
Organization’s Mailing Address PO BOX 637
City RUSSELL SPRINGS
State KY
ZIP 42642
Accounting period End 12
Primary contact name A SCOTT EZELL CPA
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

NICK ARMSTRONG
PRESIDENT
3050 HWY 1870
RUSSELL SPRINGS KY 42642

Officer/Director/Trustee Two

TERESA MEYERS
VICE-PRESIDENT
1261 DECATUR RD
DUNNVILLE KY 42528

Officer/Director/Trustee Three

NANCY MONEY
SECRETARY TREASURER
1358 S HWY 92
JAMESTOWN KY 42629

Officer/Director/Trustee Four

TRACY TURNER
PUBLIC RELATIONS DIRECTOR
138 CUMBERLAND RIDGE CT
RUSSELL SPRINGS KY 42642

Officer/Director/Trustee Five

LANDON HELM
FOUNDER
151 RUSSELL DRIVE
RUSSELL SPRINGS KY 42642

Organization’s website
Organization’s email NICHOLASDARMSTRONG@GMAIL.COM
Organization Incorporated No
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 12/2/2016
Organization Incorporation State KY
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code F20 - Alcohol, Drug and Substance Abuse, Dependency Prevention and Treatment
Organization’s purpose Charitable: Yes
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 Yes
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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