FORM 1023-EZ for CLIMB INC

Field Data
EIN 87-1321859
Case Number EO-2021183-000356
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name CLIMB INC
Organization’s Mailing Address 9626 HIGHWAY 1482
City ONEIDA
State KY
ZIP 40972
Accounting period End 12
Primary contact name LUKE GOOSSEN
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

LUKE GOOSSEN
PRESIDENT
9626 HIGHWAY 1482
ONEIDA KY 40972

Officer/Director/Trustee Two

RITA MCCORD
DIRECTOR
11868 WEST MCCULLOUGH ROAD
HARDINSBURG IN 47125

Officer/Director/Trustee Three

LINDA CAVINESS
DIRECTOR
560 HIDDEN LAKE ROAD
HARDIN KY 42048

Organization’s website WWW.CLIMBWITHLOVE.COM
Organization’s email CLIMBWITHLOVE@GMAIL.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 6/8/2021
Organization Incorporation State KY
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code P20 - Human Service Organizations - Multipurpose
Organization’s purpose Charitable: Yes
Religious: Yes
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 Yes
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 LUKE GOOSSEN
Signature Title PRESIDENT
Signature Date 6/29/2021

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