FORM 1023-EZ for A MOTHERS WAY CORP

Field Data
EIN 82-4234619
Case Number EO-2018169-000625
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name A MOTHERS WAY CORP
Organization’s Mailing Address 131 E KINGSTON AVE APT1
City LOUISVILLE
State KY
ZIP 40214-2254
Accounting period End 6
Primary contact name TAKEYLA NEAL
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

TAKEYLA NEAL
EXECUTIVE DIRECTOR
131E KINGSTON AVE APT 1
LOUISVILLE KY 40214-2254

Officer/Director/Trustee Two

SHANTA HENNIG
TREASURER
1607 WILLIAM E SUMMERS111 AVE
LOUISVILLE KY 40211

Officer/Director/Trustee Three

CHANEL SIMMONS
CHAIR PERSON
406 S CLAY ST
LOUISVILLE KY 40203

Officer/Director/Trustee Four

STEVEN BEDFORD
BOARD MEMBER
2984 WILSON AVE APT 100
LOUISVILLE KY 40211

Officer/Director/Trustee Five

CHAD WILLIAMS
BOARD MEMBER
1114 S 4TH STREET APT 105
LOUISVILLE KY 40203

Organization’s website
Organization’s email AMOTHERSWAY17@YAHOO.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 5/22/18
Organization Incorporation State KY
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code F33 - Group Home, Residential Treatment Facility - Mental Health Related
Organization’s purpose Charitable: Yes
Religious: No
Educational: Yes
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 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 TAKEYLA NEAL
Signature Title EXECUTIVE DIRECTOR
Signature Date 6/14/18

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