FORM 1023-EZ for COURT APPOINTED SPECIAL ADVOCATES OF SOUTHERN KENTUCKY INC

Field Data
EIN 84-3518467
Case Number EO-2019347-000359
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name COURT APPOINTED SPECIAL ADVOCATES OF SOUTHERN KENTUCKY INC
Organization’s Mailing Address PO BOX 1363
City SOMERSET
State KY
ZIP 42502
Accounting period End 6
Primary contact name MARSHA N CAMENISCH
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

ANGELA TODD
DIRECTOR
166 LOGAN CREEK DR
STANFORD KY 40484

Officer/Director/Trustee Two

MARSHA CAMENISCH
DIRECTOR
1590 KY HWY 78
STANFORD KY 40484

Officer/Director/Trustee Three

PAULINE RICHARD
DIRECTOR
1670 SIMS RIDGE ROAD
KINGS MOUNTAIN KY 40442

Officer/Director/Trustee Four

BARBARA BECKMAN
DIRECTOR
502 MOCKINGBIRD LANE
SOMERSET KY 42503

Officer/Director/Trustee Five

JENNIFER KAISER
DIRECTOR
340 RED BARN ROAD
STANFORD KY 40484

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 10/28/2019
Organization Incorporation State KY
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code P30 - Children's, Youth Services
Organization’s purpose Charitable: No
Religious: No
Educational: No
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 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 MARSHA CAMENISCH
Signature Title DIRECTOR
Signature Date 12/11/2019

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