FORM 1023-EZ for METCALFE COUNTY HISTORICAL SOCIETY

Field Data
EIN 61-1352456
Case Number EO-2020232-000049
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name METCALFE COUNTY HISTORICAL SOCIETY
Organization’s Mailing Address 4099 RANDOLPH SUMMER SHADE ROAD
City SUMMER SHADE
State KY
ZIP 42166
Accounting period End 6
Primary contact name JUDYE ANDERSON HAFLING
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

KAY HARBISON
PRESIDENT
4099 RANDOLPH
SUMMER SHADE KY 42166

Officer/Director/Trustee Two

KIM SMITH
VICE PRESIDENT
112 OAK STREET
EDMONTON KY 42129

Officer/Director/Trustee Three

SHIRLEY MAYRAND
SECRETARY
268 HIDDEN OAKS ROAD
EDMONTON KY 42129

Officer/Director/Trustee Four

JUDYE HAFLING
TREASUER
698 ANDERSON-PERKINS ROAD
EDMONTON KY 42129

Officer/Director/Trustee Five

MARY LEE SANDRIDGE
DIRECTOR
47 NUNNALLY ROAD
SUMMER SHADE KY 42166

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 9/5/1995
Organization Incorporation State KY
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code A80 - Historical Societies, Related Historical Activities
Organization’s purpose Charitable: Yes
Religious: Yes
Educational: Yes
Scientific: Yes
Literary: Yes
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 Yes
Correctness Declaration Yes
Signature Name JUDYE HAFLING
Signature Title TREASUER
Signature Date 8/17/2020

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