FORM 1023-EZ for JACK ROBERTS PARK PRESERVATION ASSOCIATION INC

Field Data
EIN 81-1841834
Case Number EO-2016208-000411
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name JACK ROBERTS PARK PRESERVATION ASSOCIATION INC
Organization’s Mailing Address 536 MADIGAN AVENUE
City MORGANTOWN
State WV
ZIP 26501
Accounting period End 12
Primary contact name JUDY SEMLER
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

JUDY SEMLER
PRESIDENT
536 MADIGAN AVENUE
MORGANTOWN WV 26501

Officer/Director/Trustee Two

KAY BEAMER
VICE PRESIDENT
418 MADIGAN AVENUE
MORGANTOWN WV 26501

Officer/Director/Trustee Three

MARGARET ROBERTS
SECRETARY
500 MADIGAN AVENUE
MORGANTOWN WV 26501

Officer/Director/Trustee Four

JANE BOWEN
TREASURER
529 CALLEN AVENUE
MORGANTOWN WV 26501

Officer/Director/Trustee Five

JAMES BOST
MEMBER AT LARGE
545 CALLEN AVENUE
MORGANTOWN WV 26501

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 3/2/2016
Organization Incorporation State WV
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code C01 - Alliance/Advocacy Organizations
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
Signature Title
Signature Date

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