FORM 1023-EZ for KENTUCKY CENTER FOR LEADERSHIP INC

Field Data
EIN 85-3886873
Case Number EO-2021084-000396
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name KENTUCKY CENTER FOR LEADERSHIP INC
Organization’s Mailing Address 1733 CAMPUS PLAZA COURT SUITE 7
City BOWLING GREEN
State KY
ZIP 42101
Accounting period End 12
Primary contact name MICHAIL TRIVIZADAKIS
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

RANDALL CAPPS
CEO
922 KENSINGTON WAY
BOWLING GREEN KY 42103

Officer/Director/Trustee Two

MICHAIL TRIVIZADAKIS
PRESIDENT
1119 IRONWOOD DRIVE
BOWLING GREEN KY 42103

Officer/Director/Trustee Three

CECILE GARMON
VICE PRESIDENT
605 S GREEN STREET
GLASGOW KY 42141

Officer/Director/Trustee Four

PAMELA DECKER
DIRECTOR
1780 PIG ROAD
SMITHS GROVE KY 42171

Officer/Director/Trustee Five

WALLACE HERNDON
DIRECTOR
1113 BENNINGTON PLACE
FRANKLIN KY 42134

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 9/11/2020
Organization Incorporation State KY
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code B90 - Educational Services and Schools - Other
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 MICHAIL TRIVIZADAKIS
Signature Title PRESIDENT
Signature Date 11/19/2020

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