FORM 1023-EZ for FELLOWSHIP CENTER OF WALLINS CREEK

Field Data
EIN 31-0954807
Case Number EO-2017205-000264
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name FELLOWSHIP CENTER OF WALLINS CREEK
Organization’s Mailing Address PO BOX 131
City WALLINS
State KY
ZIP 40873-0131
Accounting period End 12
Primary contact name PENNY LEE
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

DEWAYNE WILLIAMS
CHAIRMAN
3450 HWY 219
WALLINS KY 40873

Officer/Director/Trustee Two

ROY GIBBS
TREASURER
PO BOX 232
LOYALL KY 40854

Officer/Director/Trustee Three

CARLA DYE
SECRETARY / VICE CHAIR
375 TREMONT HILL
WALLINS KY 40873

Officer/Director/Trustee Four

PENNY LEE
DIRECTOR
PO BOX 45
COLDIRON KY 40819

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 10/4/1978
Organization Incorporation State KY
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code P99 - Human Services - Multipurpose and Other 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 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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