FORM 1023-EZ for THE HENDERSON VILLAGE

Field Data
EIN 81-1438830
Case Number EO-2016047-000307
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name THE HENDERSON VILLAGE
Organization’s Mailing Address 2705 SUNSET LN
City HENDERSON
State KY
ZIP 42420
Accounting period End 1
Primary contact name MARY RACHEL SCOTT
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

MARY RACHEL SCOTT
OWNER
1032 MARYWOOD DR
HENDERSON KY 42420

Organization’s website THEHENDERSONVILLAGE.ORG
Organization’s email THEHENDERSONVILLAGE@GMAIL.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 2/10/2016
Organization Incorporation State KY
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code B21 - Kindergarten, Preschool, Nursery School, Early Admissions
Organization’s purpose Charitable: Yes
Religious: No
Educational: Yes
Scientific: Yes
Literary: Yes
Public Safety: No
Amateur Sports: No
Cruelty Prevention: Yes
Qualify For Exemption No
Legislation influence No
Compensation of Officer director trustee Yes
Donation of funds Yes
Conducting Activities Outside of United States No
Financial transactions with officers Yes
Unrelated Gross Income $1,000 or More No
Gaming Activity No
Disaster relief assistance Yes
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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