FORM 1023-EZ for AHC FOUNDATION INC

Field Data
EIN 85-2396328
Case Number EO-2020276-000076
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name AHC FOUNDATION INC
Organization’s Mailing Address 843 FAIRVIEW SUITE A1
City BOWLING GREEN
State KY
ZIP 42101
Accounting period End 12
Primary contact name LARRRY C HOWLETT
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

SPENCE SHELDON
PRESIDENT
137 WINDMERE CT
BOWLING GREEN KY 42103

Officer/Director/Trustee Two

AJ PATTERSON
TREASURER
365 CUMBERLAND CIR
BOWLING GREEN KY 42103

Officer/Director/Trustee Three

CRISTEN PAGE
SECRETARY
621 NUTWOOD ST
BOWLING GREEN KY 42104

Officer/Director/Trustee Four

NICK LAWSON
VICE PRESIDENT
621 NUTWOOD ST
BOWLING GREEN KY 42104

Officer/Director/Trustee Five

TERRI SHELDON
DIRECTOR
137 WINDMERE CT
BOWLING GREEN KY 42103

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 9/29/2020
Organization Incorporation State KY
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code P99 - Human Services - Multipurpose and Other N.E.C.
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 No
Unrelated Gross Income $1,000 or More No
Gaming Activity No
Disaster relief assistance No
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 SPENCE SHELDON
Signature Title PRESIDENT
Signature Date 9/30/2020

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