FORM 1023-EZ for ROLLERGIRLS OF CENTRAL KENTUCKY

Field Data
EIN 45-3354810
Case Number EO-2019093-000162
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name ROLLERGIRLS OF CENTRAL KENTUCKY
Organization’s Mailing Address PO BOX 837
City LEXINGTON
State KY
ZIP 40588-837
Accounting period End 12
Primary contact name LAUREN PAYNE
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

LAUREN PAYNE
PRESIDENT
929 LILY DR
LEXINGTON KY 40504

Officer/Director/Trustee Two

KAITLYN FISHER
VICE PRESIDENT
860 KIDDVILLE RD
WINCHESTER KY 40391

Officer/Director/Trustee Three

EILEEN HARRINGTON
SECRETARY
2609 CASHEL CT
LEXINGTON KY 40509

Officer/Director/Trustee Four

WHITNEY HIBPSHMAN
TREASURER
124 WICHITA DR
NICHOLASVILLE KY 40356

Officer/Director/Trustee Five

WENDY BARKER
DIRECTOR
2144 SAGE RD
LEXINGTON KY 40504

Organization’s website WWW.ROCKANDROLLERGIRLS.COM
Organization’s email ROLLERDERBYOFCENTRALKENTUCKY@GMAIL.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 6/3/11
Organization Incorporation State KY
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code N60 - Amateur Sports Clubs, Leagues, N.E.C.
Organization’s purpose Charitable: No
Religious: No
Educational: No
Scientific: No
Literary: No
Public Safety: No
Amateur Sports: Yes
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 Yes
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 EILEEN HARRINGTON
Signature Title SECRETARY
Signature Date 4/1/19

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