FORM 1023-EZ for THE RUBICON MASONIC SOCIETY INC

Field Data
EIN 87-2695276
Case Number EO-2021265-000334
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name THE RUBICON MASONIC SOCIETY INC
Organization’s Mailing Address 3321 WINCHESTER ROAD
City LEXINGTON
State KY
ZIP 40509
Accounting period End 12
Primary contact name DAN KEMBLE
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

BRIAN EVANS JR
CHAIRMAN
8240 ELK LICK FALLS ROAD
LEXINGTON KY 40515

Officer/Director/Trustee Two

JOHN BIZZACK
VICE CHAIRMAN
3321 WINCHESTER ROAD
LEXINGTON KY 40509

Officer/Director/Trustee Three

DAN KEMBLE
SECRETARY
1540 ST CLAIR STREET
COVINGTON KY 41011

Organization’s website
Organization’s email WKUMASON@GMAIL.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 9/1/2021
Organization Incorporation State KY
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code W99 - Public, Society Benefit - Multipurpose and Other N.E.C.
Organization’s purpose Charitable: Yes
Religious: No
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 Yes
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 DAN KEMBLE
Signature Title SECRETARY
Signature Date 9/20/2021

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