FORM 1023-EZ for STORY FORMED INC

Field Data
EIN 84-2893990
Case Number EO-2019246-000202
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name STORY FORMED INC
Organization’s Mailing Address 701 CLAYRIDGE RD
City ALEXANDRIA
State KY
ZIP 41001
Accounting period End 12
Primary contact name TIFFANY MOWRY
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

STEPHEN MOWRY
DIRECTOR CHAIRMAN
701 CLAYRIDGE RD
ALEXANDRIA KY 41001-7693

Officer/Director/Trustee Two

BYRON SHOONER
DIRECTOR TREASURER
4536 LEO STREET
CINCINNATI OH 45217-1610

Officer/Director/Trustee Three

BEN NELTNER
DIRECTOR
11288 POND CREEK RD
ALEXANDRIA KY 41001-7645

Organization’s website WWW.STORYFORMEDLIFE.ORG
Organization’s email HELLO@STORYFORMEDLIFE.ORG
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 2/12/19
Organization Incorporation State KY
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code X20 - Christian
Organization’s purpose Charitable: No
Religious: Yes
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 Yes
Conducting Activities Outside of United States Yes
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 STEPHEN MOWRY
Signature Title DIRECTOR CHAIRMAN
Signature Date 8/29/19

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