FORM 1023-EZ for CCC OF WESTERN KENTUCKY
| Field | Data |
|---|---|
| EIN | 81-3881226 |
| Case Number | EO-2017055-000589 |
| Form 1023-EZ version | 62014 |
| Eligibility Worksheet | 1 |
| Organization Name | CCC OF WESTERN KENTUCKY |
| Organization’s Mailing Address | 2820 JEFFERSON ST |
| City | PADUCAH |
| State | KY |
| ZIP | 42001 |
| Accounting period End | 12 |
| Primary contact name | J RONALD JACKSON |
| Primary contact phone | [Hidden] |
| Primary contact phone extension | [Hidden] |
| Primary contact fax | [Hidden] |
| User fee submitted | $275.00 |
Officer/Director/Trustee One
ROGER THOMPSON
DIRECTOR
215 BRUCE AVE
PADUCAH KY 42001
Officer/Director/Trustee Two
COOKIE ADAMS
DIRECTOR
2820 KNOB HILL DR
PADUCAH KY 42003
Officer/Director/Trustee Three
JOHN DALE
DIRECTOR
1208 MIMOSA LN
MURRAY KY 42071
Officer/Director/Trustee Four
GARY ENLOW
DIRECTOR
3850 LESTER HARRIS RD
KEVIL KY 40253
Officer/Director/Trustee Five
GENE GILLIAND
DIRECTOR
107 E 21ST ST
BENTON KY 42025
| Organization’s website | CCCHOPE.COM |
|---|---|
| Organization’s email | |
| Organization Incorporated | Yes |
| Organization trust | No |
| Necessary Organizing Documents | Yes |
| Organization Incorporation Date | 7/26/2016 |
| 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: Yes Educational: Yes Scientific: Yes 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 | |
| Signature Title | |
| Signature Date |
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