FORM 1023-EZ for SPECIAL NEEDS CAMP OF KENTUCKY INC

Field Data
EIN 47-4370317
Case Number EO-2015187-000234
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name SPECIAL NEEDS CAMP OF KENTUCKY INC
Organization’s Mailing Address 6255 EAST HWY 60
City SALT LICK
State KY
ZIP 40371
Accounting period End 12
Primary contact name RALPHA HARVEY
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

RALPHA HARVEY
DIRECTOR AND PRESIDENT
6255 EAST HWY 60
SALT LICK KY 40371

Officer/Director/Trustee Two

STEVE SWIM
DIRECTOR
10790 EAT HWY 60
SALT LICK KY 40371

Officer/Director/Trustee Three

JULIA STATON
DIRECTOR
1189 DOUBLE EAGLE COURT
LEBANON OH 45036

Officer/Director/Trustee Four

DANICA STAMPER
DIRECTOR
51 RIDDLE LANE
MOREHEAD KY 40351

Officer/Director/Trustee Five

SHELBY SCARBROUGH
SECRETARY
PO BOX 897
OWINGSVILLE KY 40360

Organization’s website SPECIALKIDSCAMP.ORG
Organization’s email BUGMOTHER1960@HOTMAIL.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 4/21/2015
Organization Incorporation State KY
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code N20 - Recreational and Sporting Camps
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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