FORM 1023-EZ for THE KENTUCKY CENTER FOR GRIEVING CHILDREN AND FAMILIES INC

Field Data
EIN 84-4815951
Case Number EO-2020062-000208
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name THE KENTUCKY CENTER FOR GRIEVING CHILDREN AND FAMILIES INC
Organization’s Mailing Address 3348 BELLEFONTE DRIVE
City LEXINGTON
State KY
ZIP 40502
Accounting period End 12
Primary contact name LEILA W SALISBURY
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

LEILA SALISBURY
FOUNDING DIRECTOR
3348 BELLEFONTE DRIVE
LEXINGTON KY 40502

Officer/Director/Trustee Two

KATHERINE ADAMS
BOARD OF DIRECTORS
202 TAHOMA DRIVE
LEXINGTON KY 40503

Officer/Director/Trustee Three

CONNIE KOTZBAUER
BOARD OF DIRECTORS
1368 TANFORAN DRIVE
LEXINGTON KY 40517

Officer/Director/Trustee Four

HEATHER RISK
BOARD OF DIRECTORS
230 N LIMESTONE STREET SUITE 100
LEXINGTON KY 40507

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 2/24/2020
Organization Incorporation State KY
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code F60 - Counseling, Support Groups
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 Yes
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 No
Benefit of College No
Private Foundation 508(e) Yes
Seeking Retroactive Reinstatement No
Seeking Section 7 Reinstatement No
Correctness Declaration Yes
Signature Name LEILA SALISBURY
Signature Title FOUNDING DIRECTOR
Signature Date 2/27/2020

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