FORM 1023-EZ for NIGHT OUT FOR NORAH INC

Field Data
EIN 83-4603253
Case Number EO-2019133-000324
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name NIGHT OUT FOR NORAH INC
Organization’s Mailing Address 663 RIDGEWAY DRIVE
City TAYLOR MILL
State KY
ZIP 41015
Accounting period End 12
Primary contact name JASON LANCASTER COONEY
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

JASON COONEY
REGISTERED AGENT
663 RIDGEWAY DRIVE
TAYLOR MILL KY 41015

Officer/Director/Trustee Two

MARLAYNA COONEY
OFFICER
663 RIDGEWAY DRIVE
TAYLOR MILL KY 41015

Officer/Director/Trustee Three

THOMAS KAELIN
OFFICER
4970 HOLTZ DRIVE
COLD SPRING KY 41076

Officer/Director/Trustee Four

BRIDGETTE HIGHTOWER
OFFICER
3607 SHADYSIDE DRIVE
ERLANGER KY 41018

Organization’s website NIGHTOUTFORNORAH.COM
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 3/2/19
Organization Incorporation State KY
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code G45 - Lung Disease
Organization’s purpose Charitable: Yes
Religious: No
Educational: Yes
Scientific: Yes
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 Yes
Conducting Activities Outside of United States No
Financial transactions with officers No
Unrelated Gross Income $1,000 or More No
Gaming Activity Yes
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 JASON COONEY
Signature Title REGISTERED AGENT
Signature Date 5/9/19

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