FORM 1023-EZ for HENRY COUNTY YOUTH SHOOTING SPORTSFOUNDATION INC

Field Data
EIN 86-1451700
Case Number EO-2021189-000090
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name HENRY COUNTY YOUTH SHOOTING SPORTSFOUNDATION INC
Organization’s Mailing Address P O BOX 478
City NEW CASTLE
State KY
ZIP 40050
Accounting period End 12
Primary contact name KEITH A JEFFRIES
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

KEITH JEFFRIES
DIRECTOR
P O BOX 478
NEW CASTLE KY 40050

Officer/Director/Trustee Two

DENNIS CAMPBELL
DIRECTOR
1273 CAMPBELLSBURG RD
NEW CASTLE KY 40050

Officer/Director/Trustee Three

THOMAS MINGS
DIRECTOR
2240 FALLEN TIMBER ROAD
NEW CASTLE KY 40050

Organization’s website
Organization’s email KEITH@JEFFRIESLAWOFFICE.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 12/23/2020
Organization Incorporation State KY
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code O12 - Fund Raising and/or Fund Distribution
Organization’s purpose Charitable: No
Religious: No
Educational: Yes
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 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 KEITH JEFFRIES
Signature Title DIRECTOR
Signature Date 7/6/2021

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