FORM 1023-EZ for GARRETT FORK NEIGHBORHOOD CRIME WATCH

Field Data
EIN 26-2221681
Case Number EO-2018254-000148
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name GARRETT FORK NEIGHBORHOOD CRIME WATCH
Organization’s Mailing Address PO BOX 744
City CHAPMANVILLE
State WV
ZIP 25508
Accounting period End 12
Primary contact name HAROLD B DAVIS CPA
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

EUGENE MAZZOCCHI
PRESIDENT
165 ROCKLICK BRANCH ROAD
CHAPMANVILLE WV 25508

Officer/Director/Trustee Two

FLOYD BROWNING
CHIEF OPERATING OFFICER
1298 BARKERS FORK ROAD
CHAPMANVILLE WV 25508

Officer/Director/Trustee Three

RONALD GARRETT
TREASURER
1841 GARRETT FORK ROAD
CHAPMANVILLE WV 25508

Officer/Director/Trustee Four

GILMER BARKER
PROCUREMENT OFFICER
67 BOXWOOD LANE
CHAPMANVILLE WV 25508

Officer/Director/Trustee Five

WANDA SMITH
SECRETARY
3702 GARRETT FORK ROAD
CHAPMANVILLE WV 25508

Organization’s website NONE
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 7/13/18
Organization Incorporation State WV
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code W24 - Citizen Participation
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 Yes
Correctness Declaration Yes
Signature Name EUGENE MAZZOCCHI
Signature Title PRESIDENT
Signature Date 9/9/18

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