FORM 1023-EZ for COMMUNITIES IN ACTION INC

Field Data
EIN 46-4176947
Case Number EO-2015155-000215
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name COMMUNITIES IN ACTION INC
Organization’s Mailing Address 4664 NORTH MAIN STREET
City EMINENCE
State KY
ZIP 40019
Accounting period End 6
Primary contact name TERRI CUMMINGS
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

DEEDEE NEW
PRESIDENT
326 SOUTH MAIN STREET
NEW CASTLE KY 40050

Officer/Director/Trustee Two

JO BREWER
VICE PRESIDENT/DIRECTOR
4664 NORTH MAIN STREET
EMINENCE KY 40019

Officer/Director/Trustee Three

ADRIAN LEE
SECRETARY
295 WEST BROADWAY
EMINENCE KY 40019

Officer/Director/Trustee Four

TERRI CUMMINGS
TREASURER
3828 HILLSBORO ROAD
CAMPBELLSBURG KY 40011

Officer/Director/Trustee Five

LISA PREWITT
DIRECTOR
8401 PORT ROYAL ROAD
PORT ROYAL KY 40058

Organization’s website N/A
Organization’s email HENRYCOUNTYCIA@BELLSOUTH.NET
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 5/27/2015
Organization Incorporation State KY
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code S21 - Community Coalitions
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
Signature Title
Signature Date

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