FORM 1023-EZ for HICKMAN CREEK CONSERVANCY INC

Field Data
EIN 83-2895368
Case Number EO-2019051-000354
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name HICKMAN CREEK CONSERVANCY INC
Organization’s Mailing Address 3841 BELLEAU WOOD DR APT 3
City LEXINGTON
State KY
ZIP 40517
Accounting period End 12
Primary contact name DAWN SHROYER
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

KELLY TAYLOR
PRESIDENT
3437 BELVOIR DR
LEXINGTON KY 40502

Officer/Director/Trustee Two

BRIAN RADCLIFFE
VICE PRESIDENT
3709 SAINT CLAIR COURT
LEXINGTON KY 40517

Officer/Director/Trustee Three

DAWN SHROYER
SECRETARY
3841 BELLEAU WOOD DR APT 3
LEXINGTON KY 40517

Officer/Director/Trustee Four

LIZ KNAPP
TREASURER
320 BRADFORD COLONY DR
LEXINGTON KY 40515

Officer/Director/Trustee Five

JULIAN CAMPBELL
PAST PRESIDENT
3525 WILLOWOOD ROAD
LEXINGTON KY 40517

Organization’s website HICKMANCREEK.ORG
Organization’s email INFO@HICKMANCREEK.ORG
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 1/1/19
Organization Incorporation State KY
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code C32 - Water Resource, Wetlands Conservation and Management
Organization’s purpose Charitable: Yes
Religious: No
Educational: Yes
Scientific: Yes
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 LIZ KNAPP
Signature Title TREASURER
Signature Date 2/15/19

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