FORM 1023-EZ for WITHLOVEFROMHARLAN

Field Data
EIN 82-2913478
Case Number EO-2018051-000471
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name WITHLOVEFROMHARLAN
Organization’s Mailing Address 4478 HWY 522
City PUTNEY
State KY
ZIP 40865
Accounting period End 6
Primary contact name LESLIE BLEDSOE
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

LESLIE BLEDSOE
DIRECTOR
PO BOX 1621
HARLAN KY 40831

Officer/Director/Trustee Two

AMANDA MIDDLETON
SECRETARY
1043 HWY 3449
WALLINS KY 40873

Officer/Director/Trustee Three

TERA DAY
BOARD MEMBER
111 SOUTH MAIN ST
HARLAN KY 40831

Officer/Director/Trustee Four

MEGAN EWING
BOARD MEMBER
PO BOX 670
LOYAL KY 40854

Officer/Director/Trustee Five

SARAH PHILPOT
BOARD MEMBER
112 HENSLEY DR LOT 15
BAXTER KY 40806

Organization’s website WITHLOVEFROMHARLAN.COM
Organization’s email WITHLOVEFROMHARLAN@YAHOO.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 9/27/17
Organization Incorporation State KY
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code P60 - Emergency Assistance (Food, Clothing, Cash)
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 Yes
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 Yes
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 LESLIE BLEDSOE
Signature Title DIRECTOR
Signature Date 2/17/18

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