FORM 1023-EZ for KNOX COUNTY YOUTH FOUNDATION

Field Data
EIN 83-0515881
Case Number EO-2018201-000197
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name KNOX COUNTY YOUTH FOUNDATION
Organization’s Mailing Address PO BOX 47
City BICKNELL
State IN
ZIP 47512
Accounting period End 5
Primary contact name MARTHA WAMPLER
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

KELLIE STREETER
PRESIDENT
PO BOX 244
FREELANDVILLE IN 47535

Officer/Director/Trustee Two

CHRISTA MCCLURE
VICE PRESIDENT
906 N 10TH STREET
VINCENNES IN 47591

Officer/Director/Trustee Three

SHELBY MARCHINO
SECRETARY
PO BOX 95
BICKNELL IN 47512

Officer/Director/Trustee Four

MARTHA WAMPLER
TREASURER
722 N MAIN STREET
BICKNELL IN 47512

Officer/Director/Trustee Five

LYDIA DUNCAN
COMMUNITY LIASON
613 S MAIN STREET
BICKNELL IN 47512

Organization’s website
Organization’s email KCYF2018@GMAIL.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 5/11/18
Organization Incorporation State IN
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code O50 - Youth Development Programs, Other
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 LYDIA DUNCAN
Signature Title COMMUNITY LIASON
Signature Date 7/18/18

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