FORM 1023-EZ for APPALACHIAN KENTUCKY HEALTH CARE ACCESS NETWORK INC
| Field | Data |
|---|---|
| EIN | 83-3799871 |
| Case Number | EO-2019288-000127 |
| Form 1023-EZ version | 12018 |
| Eligibility Worksheet | 1 |
| Organization Name | APPALACHIAN KENTUCKY HEALTH CARE ACCESS NETWORK INC |
| Organization’s Mailing Address | 124 N MAYSVILLE ST |
| City | MOUNT STERLING |
| State | KY |
| ZIP | 40353-1159 |
| Accounting period End | 12 |
| Primary contact name | GINA BRIEN |
| Primary contact phone | [Hidden] |
| Primary contact phone extension | [Hidden] |
| Primary contact fax | [Hidden] |
| User fee submitted | $275.00 |
Officer/Director/Trustee One
SUE THOMAS-COX
DIRECTOR
275 E MAIN ST
FRANKFORT KY 40601-2321
Officer/Director/Trustee Two
DAVID GROSS
DIRECTOR
316 W SECOND ST
MOREHEAD KY 40351-1550
Officer/Director/Trustee Three
JAN CHAMNESS
DIRECTOR
110 WINTERBERRY CIRCLE
WINCHESTER KY 40391-8531
Officer/Director/Trustee Four
ALLISON NAPIER
DIRECTOR
117 CIVIC CENTER
MOUNT STERLING KY 40353-1478
| Organization’s website | WWW.AKHCAN.ORG |
|---|---|
| Organization’s email | INFO@AKHCAN.ORG |
| Organization Incorporated | Yes |
| Organization trust | No |
| Necessary Organizing Documents | Yes |
| Organization Incorporation Date | 2/25/19 |
| Organization Incorporation State | KY |
| Contains Limitation | Yes |
| Does not expressly empower | Yes |
| Contains dissolution | Yes |
| National Taxonomy of Exempt Entities (NTEE) code | B02 - Management & Technical Assistance |
| Organization’s purpose | Charitable: No 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 | 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 | SUE THOMAS-COX |
| Signature Title | DIRECTOR |
| Signature Date | 10/10/19 |
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