FORM 1023-EZ for LOUISVILLE METROPOLITAN PUBLIC SAFETY MUSEUM

Field Data
EIN 81-5119107
Case Number EO-2017067-000400
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name LOUISVILLE METROPOLITAN PUBLIC SAFETY MUSEUM
Organization’s Mailing Address 221 SOUTH FOURTH STREET
City LOUISVILLE
State KY
ZIP 40202
Accounting period End 12
Primary contact name JOHNNY BURGRAFF
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

JOHNNY BURGRAFF
PRESIDENT
2700 COSTIGAN WAY
LOUISVILLE KY 40220

Officer/Director/Trustee Two

JOHN KEELING
VICE PRESIDENT
701 DAVENPORT DRIVE
LOUISVILLE KY 40245

Officer/Director/Trustee Three

DOUG HAMILTON
SECRETARY
410 SOUTH FIFTH STREET
LOUISVILLE KY 40202

Officer/Director/Trustee Four

GEORGE BARRETT
TREASURER
2213 STEPHAN LANE
LOUISVILLE KY 40214

Officer/Director/Trustee Five

RICHARD HOBBS
HISTORIAN
1430 CLOVERHILL DRIVE
LOUISVILLE KY 40214

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 1/17/2017
Organization Incorporation State KY
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code A50 - Museum, Museum Activities
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
Signature Title
Signature Date

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