FORM 1023-EZ for FOSTER ADOPTIVE KINSHIP ASSOCIATION

Field Data
EIN 82-4902580
Case Number EO-2018164-000242
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name FOSTER ADOPTIVE KINSHIP ASSOCIATION
Organization’s Mailing Address 100 AUTUMN LANE
City GEORGETOWN
State KY
ZIP 40324
Accounting period End 12
Primary contact name TERRY L GRAY
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

TERRY GRAY
PRESIDENT
100 AUTUMN LANE
GEORGETOWN KY 40324

Officer/Director/Trustee Two

TONY WHEATLEY
VICE-PRESIDENT
168 VALLEY VIEW
FISHERVILLE KY 40023

Officer/Director/Trustee Three

PHYLLIS HURLEY
SECRETARY
206 BAYBROOK CIRCLE
NICHOLASVILLE KY 40356

Officer/Director/Trustee Four

MIRIAM DUNHAM
TREASURER
101 DEER RUN BLVD
GEORGETOWN KY 40324

Officer/Director/Trustee Five

JULIE GRAY
CONTRIBUTION CHAIR
100 AUTUMN LANE
GEORGETOWN KY 40324

Organization’s website WWW.KIDSFAPA.ORG
Organization’s email FAPAKIDS@GMAIL.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 3/22/18
Organization Incorporation State KY
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code V01 - Alliance/Advocacy Organizations
Organization’s purpose Charitable: Yes
Religious: No
Educational: Yes
Scientific: No
Literary: No
Public Safety: No
Amateur Sports: No
Cruelty Prevention: Yes
Qualify For Exemption No
Legislation influence No
Compensation of Officer director trustee No
Donation of funds Yes
Conducting Activities Outside of United States Yes
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 TERRY GRAY
Signature Title PRESIDENT
Signature Date 6/11/18

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