FORM 1023-EZ for UTICA PLAYGROUND ASSOCIATION INC

Field Data
EIN 35-2252573
Case Number EO-2016243-000573
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name UTICA PLAYGROUND ASSOCIATION INC
Organization’s Mailing Address 1290 HILL BRIDGE ROAD
City UTICA
State KY
ZIP 42376
Accounting period End 12
Primary contact name CHRIS RHOADS
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

JASON KOGER
PRESIDENT
250 HILL BRIDGE ROAD
UTICA KY 42376

Officer/Director/Trustee Two

CHRIS RHOADS
TREASURER
1290 HILL BRIDGE ROAD
UTICA KY 42376

Officer/Director/Trustee Three

CHAD GISH
VICE PRESIDENT
3855 RONNIE LAKE ROAD
UTICA KY 42376

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 12/1/2004
Organization Incorporation State KY
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code N32 - Parks and Playgrounds
Organization’s purpose Charitable: Yes
Religious: No
Educational: No
Scientific: No
Literary: No
Public Safety: No
Amateur Sports: Yes
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 Yes
Correctness Declaration Yes
Signature Name
Signature Title
Signature Date

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