FORM 1023-EZ for THE HENRY AND CLARK FOUNDATION INC

Field Data
EIN 84-3882557
Case Number EO-2019353-000289
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name THE HENRY AND CLARK FOUNDATION INC
Organization’s Mailing Address PO BOX 605
City GLASGOW
State KY
ZIP 42102-0605
Accounting period End 12
Primary contact name BRIAN PACK
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

BEN WELLS
DIRECTOR
369 PERKINS ROAD
GLASGOW KY 42141

Officer/Director/Trustee Two

JESSICA WELLS
DIRECTOR
369 PERKINS ROAD
GLASGOW KY 42141

Officer/Director/Trustee Three

ABBY HELTSLEY
DIRECTOR
1704 LESTER COURT
BOWLING GREEN KY 42103

Officer/Director/Trustee Four

BRIAN PACK
GENERAL COUNSEL
135 NORTH PUBLIC SQUARE
GLASGOW KY 42141

Organization’s website HENRYANDCLARKFOUNDATION.ORG
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 12/3/2019
Organization Incorporation State KY
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code D20 - Animal Protection and Welfare
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 BRIAN PACK
Signature Title GENERAL COUNSEL
Signature Date 12/17/2019

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