FORM 1023-EZ for FOREVER GREEN

Field Data
EIN 82-2914999
Case Number EO-2017279-000162
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name FOREVER GREEN
Organization’s Mailing Address 306 CAMBRIDGE WAY
City CAMPBELLSVILLE
State KY
ZIP 42718
Accounting period End 12
Primary contact name SQUIRES AND LEE PLLC
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

RICHARD KESSLER
DIRECTOR
306 CAMBRIDGE WAY
CAMPBELLSVILLE KY 42718

Officer/Director/Trustee Two

TERRY PARTIN
DIRECTOR
423 RAY PARTIN RD
COLUMBIA KY 42728

Officer/Director/Trustee Three

LISLE CHEATHAM
DIRECTOR
211 AUTUMN DRIVE
GREENSBURG KY 42743

Officer/Director/Trustee Four

MELODY CHANEY
DIRECTOR
201 MAIN STREET
MUNFORDVILLE KY 42765

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 9/20/2017
Organization Incorporation State KY
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code S20 - Community, Neighborhood Development, Improvement (General)
Organization’s purpose Charitable: Yes
Religious: No
Educational: Yes
Scientific: Yes
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
Signature Title
Signature Date

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