FORM 1023-EZ for LEADERSHIP JESSAMINE COUNTY

Field Data
EIN 61-1307004
Case Number EO-2016119-000386
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name LEADERSHIP JESSAMINE COUNTY
Organization’s Mailing Address 508 N MAIN ST
City NICHOLASVILLE
State KY
ZIP 40356
Accounting period End 12
Primary contact name BRANDY M OSBORNE
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

JODI MURPHY
DIRECTOR
112 CAFFREY CT
NICHOLASVILLE KY 40356

Officer/Director/Trustee Two

KATHY WALKER
DIRECTOR
2160 MACKEY PIKE
NICHOLASVILLE KY 40356

Officer/Director/Trustee Three

BRANDY M OSBORNE
DIRECTOR
304 SQUIRES WAY
NICHOLASVILLE KY 40356

Officer/Director/Trustee Four

BETH WAITS
DIRECTOR
126 CAROLYN WAY
NICHOLASVILLE KY 40356

Officer/Director/Trustee Five

MARK HANKS
DIRECTOR
301 N MAIN ST
NICHOLASVILLE KY 40356

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 7/22/1996
Organization Incorporation State KY
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code S80 - Community Service Clubs
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 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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