FORM 1023-EZ for CENTRAL KENTUCKY HOMESCHOOL ATHLETICS INC

Field Data
EIN 85-1514929
Case Number EO-2021172-000631
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name CENTRAL KENTUCKY HOMESCHOOL ATHLETICS INC
Organization’s Mailing Address 2408 CLARK STATION RD
City FISHERVILLE
State KY
ZIP 40023
Accounting period End 6
Primary contact name KEITH M COLLARD
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

KEITH COLLARD
EXECUTIVE DIRECTOR
2408 CLARK STATION RD
FISHERVILLE KY 40023

Officer/Director/Trustee Two

DEVERIN MUFF
ASSISTANT DIRECTOR
1324 BLARNEY COURT
LEXINGTON KY 40511

Officer/Director/Trustee Three

DARRELL SANDFOSS
PROGRAM DIRECTOR
4809 FIREBROOK BOULEVARD
SMITHFIELD KY 40513

Organization’s website WWW.CKYHOMESCHOOLATHLETICS.ORG
Organization’s email CKYHOMESCHOOLATHLETICS@GMAIL.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 6/17/2020
Organization Incorporation State KY
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code O55 - Youth Development - Religious Leadership
Organization’s purpose Charitable: No
Religious: Yes
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 COLLARD
Signature Title EXECUTIVE DIRECTOR
Signature Date 6/18/2021

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