FORM 1023-EZ for CODY MAYFIELD MEMORIAL FOUNDATION INC

Field Data
EIN 82-3224532
Case Number EO-2017317-000547
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name CODY MAYFIELD MEMORIAL FOUNDATION INC
Organization’s Mailing Address 3480 HOLY CROSS ROAD
City LORETTO
State KY
ZIP 40037
Accounting period End 12
Primary contact name BRIAN PACK
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

SONJA MAYFIELD
DIRECTOR PRES SECRETARY TREAS
3480 HOLY CROSS ROAD
LORETTO KY 40037

Officer/Director/Trustee Two

BETHANY HIGDON
DIRECTOR VICE PRESIDENT
108 PARK HAVEN DRIVE
CAVE CITY KY 42127

Officer/Director/Trustee Three

MICHAEL MAYFIELD
DIRECTOR
3480 HOLY CROSS ROAD
LORETTO KY 40037

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 10/3/2017
Organization Incorporation State KY
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code S99 - Community Improvement, Capacity Building N.E.C.
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 Yes
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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