FORM 1023-EZ for NKMC GHOST RIDERS INC

Field Data
EIN 81-3606284
Case Number EO-2019312-000172
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name NKMC GHOST RIDERS INC
Organization’s Mailing Address PO BOX 1292
City SHEPHERDSVILLE
State KY
ZIP 40165
Accounting period End 12
Primary contact name ROBERT HENDERSON
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

ROBERT HENDERSON
PRESIDENT
205 LAZY NORTH PARKWAY
SHEPHERDSVILLE KY 40165

Officer/Director/Trustee Two

WILLIAM FERNANDES
VICE PRESIDENT
3310 GATECREEK ROAD
LOUISVILLE KY 40272

Officer/Director/Trustee Three

JASON ELMORE
SECRETARY
452 LAKES OF DOGWOOD DR
SHEPHERDSVILLE KY 40165

Officer/Director/Trustee Four

PAUL KOSEK
TREASURER
55 GARDEN DR
TAYLORSVILLE KY 40021

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 8/19/16
Organization Incorporation State KY
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code P12 - Fund Raising and/or Fund Distribution
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 Yes
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 Yes
Seeking Section 7 Reinstatement No
Correctness Declaration Yes
Signature Name ROBERT HENDERSON
Signature Title PRESIDENT
Signature Date 11/6/19
EIN 81-3606284
Case Number EO-2016236-000138
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name NKMC GHOST RIDERS INC
Organization’s Mailing Address PO BOX 1292
City SHEPHERDSVILLE
State KY
ZIP 40165
Accounting period End 12
Primary contact name ROBERT HENDERSON
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

ROBERT HENDERSON
DIRECTOR/PRESIDENT
986 BEECH GROVE RD
SHEPHERDSVILLE KY 40165

Officer/Director/Trustee Two

FREDERICK HOFFMAN
DIRECTOR/VICE PRESIDENT
962 BEECH GROVE RD
SHEPHERDSVILLE KY 40165

Officer/Director/Trustee Three

LEE PRECIFUL
DIRECTOR/SECRETARY/TREASURER
477 BIG OAKS DRIVE
LOUISVILLE KY 40229

Organization’s website N/A
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 8/19/2016
Organization Incorporation State KY
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code P12 - Fund Raising and/or Fund Distribution
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 Yes
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
Signature Title
Signature Date

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