FORM 1023-EZ for ANDERSON CO RECOVERY INC

Field Data
EIN 46-0568408
Case Number EO-2014240-000505
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name ANDERSON CO RECOVERY INC
Organization’s Mailing Address 1111 INDUSTRY DRIVE
City LAWRENCEBURG
State KY
ZIP 40342
Accounting period End 12
Primary contact name KIM BLACK
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

KIM BLACK
EXECUTIVE DIRECTOR
1040 DUNCAN ROAD
LAWRENCEBURG KY 40342

Officer/Director/Trustee Two

GLENDA SNELLEN
DIRECTOR/VICE PRESIDENT
406 FORREST DRIVE
LAWRENCEBURG KY 40342

Officer/Director/Trustee Three

CHRISSY BOWMAN
DIRECTOR/SECRETARY
1153 WILLOUGHBY WOODS DRIVE
LAWRENCEBURG KY 40342

Officer/Director/Trustee Four

KYLE BOWMAN
DIRECTOR
1153 WILLOUGHBY WOODS DRIVE
LAWRENCEBURG KY 40342

Officer/Director/Trustee Five

DONNA JONES
DIRECTOR
1103 BONDS MILL ROAD
LAWRENCEBURG KY 40342

Organization’s website ANDERSONCOUNTYRECOVERY.ORG
Organization’s email ANDERSONCORECOVERYPRESIDENT@GMAIL.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 7/13/2012
Organization Incorporation State KY
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code F21 - Alcohol, Drug Abuse, Prevention Only
Organization’s purpose Charitable: Yes
Religious: Yes
Educational: Yes
Scientific: No
Literary: No
Public Safety: No
Amateur Sports: No
Cruelty Prevention: No
Qualify For Exemption No
Legislation influence Yes
Compensation of Officer director trustee No
Donation of funds Yes
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 Yes
One Third Support Gifts No
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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