FORM 1023-EZ for ASHLAND CLEAN START INC

Field Data
EIN 83-4363935
Case Number EO-2019228-000227
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name ASHLAND CLEAN START INC
Organization’s Mailing Address 2516 CARTER AVENUE
City ASHLAND
State KY
ZIP 41101-7830
Accounting period End 12
Primary contact name ALEXIS GONZALEZ-LOPEZ
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

MIKE BOGGS
PRESIDENT
1203 STELLA DR APT A2
ASHLAND KY 41102-5356

Officer/Director/Trustee Two

SAMANTHA BARKER
DIRECTOR
600 N INNWOOD DR
HUNTINGTON WV 25701-4813

Officer/Director/Trustee Three

TRISH HALL
DIRECTOR
4919
CATLETTSBURG KY 41129-9190

Officer/Director/Trustee Four

ALEXIS GONZALEZ-LOPEZ
DIRECTOR
1544 WINCHESTER AVE
ASHLAND KY 41105-1111

Officer/Director/Trustee Five

JODY BOGGS
DIRECTOR
1203 STELLA DR APT A2
ASHLAND KY 41102-5356

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 12/4/18
Organization Incorporation State KY
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code P20 - Human Service Organizations - Multipurpose
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 ALEXIS GONZALEZ-LOPEZ
Signature Title DIRECTOR
Signature Date 8/14/19

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