FORM 1023-EZ for THE FORGOTTEN AND DISCONNECTED INC

Field Data
EIN 83-2503795
Case Number EO-2018337-000073
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name THE FORGOTTEN AND DISCONNECTED INC
Organization’s Mailing Address 2521 DATE ST
City LOUISVILLE
State KY
ZIP 40210
Accounting period End 11
Primary contact name WILLIE NIMOCKS JR
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

HUBBARD SMITH
BOARD OF DIRECTOR
4511 DARNTON LN
LOUISVILLE KY 40216

Officer/Director/Trustee Two

HORACE COLLIER
BOARD OF DIRECTOR
5223 BANNON CROSSINGS DR
LOUISVILLE KY 40218-4087

Officer/Director/Trustee Three

KARL PRICE
BOARD OF DIRECTOR
239 SOUTH 5TH ST SUITE 1011
LOUISVILLE KY 40202

Officer/Director/Trustee Four

ERIC COWHERD
BOARD OF DIRECTOR
3420 FEVER RD
LOUISVILLE KY 40210

Officer/Director/Trustee Five

WILLIE NIMOCKS
DIRECTOR
2521 DATE ST
LOUISVILLE KY 40218-4087

Organization’s website N/A
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 11/13/18
Organization Incorporation State KY
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code F60 - Counseling, Support Groups
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 No
Benefit of College No
Private Foundation 508(e) Yes
Seeking Retroactive Reinstatement No
Seeking Section 7 Reinstatement No
Correctness Declaration Yes
Signature Name WILLIE NIMOCKS
Signature Title DIRECTOR
Signature Date 11/29/18

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