FORM 1023-EZ for APPALACHIAN CONNECTION INC

Field Data
EIN 47-5415074
Case Number EO-2016102-000440
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name APPALACHIAN CONNECTION INC
Organization’s Mailing Address 148 WOODLAND VIEW
City BOERNE
State TX
ZIP 78015
Accounting period End 12
Primary contact name JOHN CORNETT
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

JOHN CORNETT
CHAIRMAN/PRESIDENT
148 WOODLAND VIEW
BOERNE TX 78015

Officer/Director/Trustee Two

TRIGG MITCHELL
SECRETARY
125 ROMANY RD
LEXINGTON KY 40502

Officer/Director/Trustee Three

MAXWELL MITCHELL
TREASURER
101 DANIEL DRIVE
HAZARD KY 41701

Officer/Director/Trustee Four

PATRICK FARRELL
DIRECTOR
2104 WILTSHIRE BLVD
HUNTINGTON WV 25701

Officer/Director/Trustee Five

GEORGE FITZ
DIRECTOR
2310 29TH STREET
SANTA MONICA CA 90405

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 11/9/2015
Organization Incorporation State KY
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code B82 - Scholarships, Student Financial Aid Services, Awards
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
Signature Title
Signature Date

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