FORM 1023-EZ for KENTUCKY WIDOWS SONS CRYPTIC KNIGHTS INC

Field Data
EIN 83-2676490
Case Number EO-2019071-000633
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name KENTUCKY WIDOWS SONS CRYPTIC KNIGHTS INC
Organization’s Mailing Address 170 ROSE STREET
City PAINTSVILLE
State KY
ZIP 41240
Accounting period End 12
Primary contact name MARK THORNBURY
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

MARK THORNBURY
PRESIDENT
170 ROSE STREET
PAINTSVILLE KY 41240

Officer/Director/Trustee Two

TEDDY CANTRELL
VICE PRESIDENT
1781 MASHFORK ROAD
SALYERSVILLE KY 41465

Officer/Director/Trustee Three

JIM HILL
TREASURER
2375 KY RTE 1092
FLAT GAP KY 41219

Officer/Director/Trustee Four

GABRIEL MOLLETT
SECRETARY
508 BOAT GUNNEL ROAD
MEALLY KY 41234

Officer/Director/Trustee Five

BILL HENEGAR
TRUSTEE
102 MAIN STREET
WAYLAND KY 41666

Organization’s website N/A
Organization’s email MJTBURY@YAHOO.COM
Organization Incorporated No
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 12/1/18
Organization Incorporation State KY
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code N72 - Special Olympics
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 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 MARK THORNBURY
Signature Title PRESIDENT
Signature Date 3/7/19

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