FORM 1023-EZ for VISION WEST KENTUCKY INC

Field Data
EIN 81-0968174
Case Number EO-2017137-000313
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name VISION WEST KENTUCKY INC
Organization’s Mailing Address PO BOX 1151
City PRINCETON
State KY
ZIP 42445
Accounting period End 12
Primary contact name MICHAEL FAUGHN
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

MICHAEL FAUGHN
PRESIDENT
530 SILVER STAR SCHOOL ROAD
PRINCETON KY 42445

Officer/Director/Trustee Two

CHARLES BEAVERS
VICE PRESIDENT
86 QUAIL DRIVE
PRINCETON KY 42445

Officer/Director/Trustee Three

TIFFANY MASSEY
SECRETARY
1104 HOLLY LANE
PRINCETON KY 42445

Officer/Director/Trustee Four

KAYLA THOMAS
TREASURER
109 WEST GREEN STREET
PRINCETON KY 42445

Officer/Director/Trustee Five

JAKE RAMAGE
DIRECTOR
12985 MARION ROAD
PRINCETON KY 42445

Organization’s website HTTPS://WWW.FACEBOOK.COM/VISIONWKY/
Organization’s email MRFAUGHN@GMAIL.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 1/4/2016
Organization Incorporation State KY
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code S20 - Community, Neighborhood Development, Improvement (General)
Organization’s purpose Charitable: Yes
Religious: No
Educational: No
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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