FORM 1023-EZ for KENTUCKY ASSOCIATION OF COMMUNITY HEALTH WORKERS INC
| Field | Data |
|---|---|
| EIN | 81-3661611 |
| Case Number | EO-2016270-000104 |
| Form 1023-EZ version | 62014 |
| Eligibility Worksheet | 1 |
| Organization Name | KENTUCKY ASSOCIATION OF COMMUNITY HEALTH WORKERS INC |
| Organization’s Mailing Address | 117 CIVIC CENTER |
| City | MOUNT STERLING |
| State | KY |
| ZIP | 40353 |
| Accounting period End | 12 |
| Primary contact name | JAN M CHAMNESS |
| Primary contact phone | [Hidden] |
| Primary contact phone extension | [Hidden] |
| Primary contact fax | [Hidden] |
| User fee submitted | $275.00 |
Officer/Director/Trustee One
JAZMAN THORPE
PRESIDENT
108 12TH STREET
CLAY CITY KY 40312
Officer/Director/Trustee Two
ANGELA MCGUIRE
PRESIDENT ELECT
108 BULLDOG LANE ROOM 161
LOUISA KY 41230
Officer/Director/Trustee Three
KEISHA HUDSON
SECRETARY
750 MORTON ROAD
HAZARD KY 41701
Officer/Director/Trustee Four
MICHELLE LEDFORD
TREASURER
105 MAIN STREET
MANCHESTER KY 40962
| Organization’s website | WWW.KYACHW.ORG |
|---|---|
| Organization’s email | |
| Organization Incorporated | Yes |
| Organization trust | No |
| Necessary Organizing Documents | Yes |
| Organization Incorporation Date | 7/26/2016 |
| Organization Incorporation State | KY |
| Contains Limitation | Yes |
| Does not expressly empower | Yes |
| Contains dissolution | Yes |
| National Taxonomy of Exempt Entities (NTEE) code | E03 - Professional Societies, Associations |
| 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 | 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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