FORM 1023-EZ for SUSAN BUZICK ELMORE FOUNDATION INC

Field Data
EIN 83-2850674
Case Number EO-2019029-000368
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name SUSAN BUZICK ELMORE FOUNDATION INC
Organization’s Mailing Address 121 MAPLE GROVE COURT
City BARDSTOWN
State KY
ZIP 40004-2607
Accounting period End 12
Primary contact name SCARLETT G HIBBS
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

SUSAN ELMORE
PRESIDENT
121 MAPLE GROVE CT
BARDSTOWN KY 40004-2607

Officer/Director/Trustee Two

SCARLETT HIBBS
V PRESIDENT AND TREASURER
106 E BROADWAY
BARDSTOWN KY 40004-1502

Officer/Director/Trustee Three

LAURA GANOE
SECRETARY
153 LAUREL DR
BARDSTOWN KY 40004-2249

Organization’s website NONE
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 9/15/14
Organization Incorporation State KY
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code T50 - Philanthropy, Charity, Voluntarism Promotion, General
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 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 SUSAN ELMORE
Signature Title PRESIDENT
Signature Date 12/17/18

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