FORM 1023-EZ for BRIEANNE DIETZ MEMORIAL RIDE INC

Field Data
EIN 85-3714298
Case Number EO-2021063-000612
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name BRIEANNE DIETZ MEMORIAL RIDE INC
Organization’s Mailing Address 163 CHAPEL BROOKE CIRCLE
City REEDSVILLE
State WV
ZIP 26547
Accounting period End 12
Primary contact name MARIEA HAMM
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

MARIEA HAMM
PRESIDENT
163 CHAPEL BROOKE CIRCLE
REEDSVILLE WV 26547

Officer/Director/Trustee Two

JEFFREY HAMM
VICE PRESIDENT
163 CHAPEL BROOKE CIRCLE
REEDSVILLE WV 26547

Officer/Director/Trustee Three

JEANIE HEIN
TREASURER
1572 ELIASON ROAD
THORNTON WV 26440

Officer/Director/Trustee Four

GAIL LIPSCOMB
SECRETARY
1274 CRESTWOOD DRIVE
MORGANTOWN WV 26505

Officer/Director/Trustee Five

TONYA RALSTON
BOARD MEMBER
146 OLD SAWMILL ROAD
INDEPENDENCE WV 26374

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 11/24/2020
Organization Incorporation State WV
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code T30 - Public Foundations
Organization’s purpose Charitable: Yes
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 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 Yes
One Third Support Gifts No
Benefit of College No
Private Foundation 508(e) No
Seeking Retroactive Reinstatement No
Seeking Section 7 Reinstatement No
Correctness Declaration Yes
Signature Name MARIEA HAMM
Signature Title PRESIDENT
Signature Date 12/30/2020

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