FORM 1023-EZ for AMBERS LANDING INC

Field Data
EIN 83-1431510
Case Number EO-2018318-000066
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name AMBERS LANDING INC
Organization’s Mailing Address 166 BRYANTSVILLE ROAD
City LANCASTER
State KY
ZIP 40444
Accounting period End 12
Primary contact name LUCINDA MINGEY
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

LUCINDA MINGEY
PRESIDENT
116 BETSY ROSS LANE
DANVILE KY 40422

Officer/Director/Trustee Two

LISA HAMILTON
TREASURER
106 BRINDLE COURT
NICHOLASVILLE KY 40356

Officer/Director/Trustee Three

ROBIN CHOQUETTE
NA
3236 BROMLEY LANE
AURORA IL 60502

Officer/Director/Trustee Four

TERRI SNELL
NA
109 QUARTER MILE WAY
HARRODSBURG KY 40330

Officer/Director/Trustee Five

BRYAN MONTGOMERY
NA
108 GREENUP DRIVE
DANVILLE KY 40422

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 11/2/18
Organization Incorporation State KY
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code P72 - Half-Way House (Short-Term Residential Care)
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 No
Conducting Activities Outside of United States No
Financial transactions with officers Yes
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 LUCINDA MINGEY
Signature Title PRESIDENT
Signature Date 11/6/18

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