FORM 1023-EZ for HENRY CLAY HIGH SCHOOL HALL OF FAMEINC

Field Data
EIN 82-1179184
Case Number EO-2017114-000388
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name HENRY CLAY HIGH SCHOOL HALL OF FAMEINC
Organization’s Mailing Address 2100 FONTAINE ROAD
City LEXINGTON
State KY
ZIP 40502
Accounting period End 12
Primary contact name JOHN ROBERTS
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

JOHN ROBERTS
DIRECTOR
1000 N HURSTBOURNE PKY SUITE 200
LOUISVILLE KY 40223

Officer/Director/Trustee Two

DIANE CHILES
DIRECTOR
500 CULPEPPER ROAD
LEXINGTON KY 40502

Officer/Director/Trustee Three

DON BLEVINS
DIRECTOR
2069 FALLON ROAD
LEXINGTON KY 40504

Officer/Director/Trustee Four

TERRI HARRISON
DIRECTOR
2100 FONTAINE ROAD
LEXINGTON KY 40502

Officer/Director/Trustee Five

KATHERINE R LUTON
DIRECTOR
3353 HUNTER ROAD
LEXINGTON KY 40502

Organization’s website
Organization’s email BISSELL@BARDLAW.NET
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 4/11/2017
Organization Incorporation State KY
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code B11 - Single Organization Support
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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