FORM 1023-EZ for SELFLESS COMMUNITY

Field Data
EIN 81-3304954
Case Number EO-2016201-000413
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name SELFLESS COMMUNITY
Organization’s Mailing Address 712 CADOGAN COURT
City LOUISVILLE
State KY
ZIP 40222
Accounting period End 12
Primary contact name STEPHEN SCOTT
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

STEPHEN SCOTT
PRESIDENT
712 CADOGAN COURT
LOUISVILLE KY 40222

Officer/Director/Trustee Two

TIM HESTER
CFO
2501 SOUTH POPE LICK ROAD
LOUISVILLE KY 40299

Officer/Director/Trustee Three

DAN GARCIA
CHAIRPERSON
5216 EASTWIND ROAD
LOUISVILLE KY 40207

Officer/Director/Trustee Four

GEORGE DRAKE
OFFICER
4201 DOLPHIN ROAD
LOUISVILLE KY 40220

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 6/27/2016
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: Yes
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 No
Conducting Activities Outside of United States Yes
Financial transactions with officers No
Unrelated Gross Income $1,000 or More Yes
Gaming Activity No
Disaster relief assistance Yes
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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