FORM 1023-EZ for BOYS TO MEN LEADERSHIP GROUP KENTUCKY INC

Field Data
EIN 83-2765473
Case Number EO-2019298-000159
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name BOYS TO MEN LEADERSHIP GROUP KENTUCKY INC
Organization’s Mailing Address 165 WEBB DRIVE
City BOWLING GREEN
State KY
ZIP 42101
Accounting period End 12
Primary contact name LARRY C HOWLETT FORM 2848
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

TYREON CLARK
PRESIDENT
260 WALNUT CREEK DRIVE A 18
BOWLING GREEN KY 42101

Officer/Director/Trustee Two

LANDON HAMPTON
VICE PRESIDENT
998 WINTERCRESS LANE
BOWLING GREEN KY 42104

Officer/Director/Trustee Three

CHASE CARPENTER
DIRECTOR
140 COLLEGE ST
BOWLING GREEN KY 42101

Officer/Director/Trustee Four

KAREN SWINEY
TREASURER
1801 ROCKINGHAM AV
BOWLING GREEN KY 42101

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 10/21/19
Organization Incorporation State KY
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code W70 - Leadership Development
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 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 TYREON CLARK
Signature Title PRESIDENT
Signature Date 10/23/19

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