FORM 1023-EZ for WEST KENTUCKY COUNSELING ASSOCIATION INC

Field Data
EIN 84-3098966
Case Number EO-2019268-000234
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name WEST KENTUCKY COUNSELING ASSOCIATION INC
Organization’s Mailing Address 11127 SCALE ROAD
City BENTON
State KY
ZIP 42027
Accounting period End 12
Primary contact name JEANNIE CAIN
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

JEANNIE CAIN
PRESIDENT
11127
BENTON KY 42027

Officer/Director/Trustee Two

LAURRELLE COUCH
DIRECTOR
4860 BUCKNER LANE
PADUCAH KY 42001

Officer/Director/Trustee Three

AMANDA MCINTOSH
DIRECTOR
717 TENNESSEE ST
PADUCAH KY 42003

Officer/Director/Trustee Four

AMY BEVIL
DIRECTOR
453 LOWER ROAD
BENTON KY 42025

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 9/17/19
Organization Incorporation State KY
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code F01 - Alliance/Advocacy Organizations
Organization’s purpose Charitable: Yes
Religious: No
Educational: Yes
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 Yes
Benefit of College No
Private Foundation 508(e) No
Seeking Retroactive Reinstatement No
Seeking Section 7 Reinstatement No
Correctness Declaration Yes
Signature Name JEANNIE CAIN
Signature Title PRESIDENT
Signature Date 9/23/19

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