FORM 1023-EZ for WHITE LILY COMMUNITY CENTER AND PARK

Field Data
EIN 81-1030978
Case Number EO-2016025-000106
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name WHITE LILY COMMUNITY CENTER AND PARK
Organization’s Mailing Address PO BOX 1171
City SOMERSET
State KY
ZIP 42502
Accounting period End 12
Primary contact name MARK RANSHAW
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

APRIL MOUNCE
PRESIDENT
3370 PINEY GROVE RD
SOMERSET KY 42501

Officer/Director/Trustee Two

SHARON TRUAX SLAVEY
SECRETARY
3470 PINEY GROVE RD
SOMERSET KY 42501

Officer/Director/Trustee Three

HEATHER GARRISON
TREASURER
640 WHITE LILY CHURCH RD
SOMERSET KY 42501

Officer/Director/Trustee Four

LEWIS HYDEN
VICE PRESIDENT
3058 HWY 1675
SOMERSET KY 42501

Officer/Director/Trustee Five

SANDRA DYKES
BOARD MEMBER
300 FRED VANHOOK RD
SOMERSET KY 42501

Organization’s website N/A
Organization’s email MRANSHAW@AOL.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 1/6/2016
Organization Incorporation State KY
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code N30 - Physical Fitness and Community Recreational Facilities
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
Signature Title
Signature Date

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