FORM 1023-EZ for HCW ANIMAL SHELTER VOLUNTEERS

Field Data
EIN 47-1548039
Case Number EO-2014303-000486
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name HCW ANIMAL SHELTER VOLUNTEERS
Organization’s Mailing Address 1104 20TH ST
City HUNTINGTON
State WV
ZIP 25703
Accounting period End 12
Primary contact name DAN ROONEY
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

MARTHA CUMMINGS
PRESIDENT
1524 UPLAND PLACE
HUNTINGTON WV 25701

Officer/Director/Trustee Two

CONNIE GILKERSON
VICE PRESIDENT
313 JOYCE ROAD
KENOVA WV 25530

Officer/Director/Trustee Three

JENINE CULLIGAN
SECRETARY
915 WEST 4TH STREET
HUNTINGTON WV 25701

Officer/Director/Trustee Four

JOANIE SMITH
TREASURER
322 9TH AVE
HUNTINGTON WV 25701

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 10/28/2014
Organization Incorporation State WV
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code D11 - Single Organization Support
Organization’s purpose Charitable: No
Religious: No
Educational: No
Scientific: No
Literary: No
Public Safety: No
Amateur Sports: No
Cruelty Prevention: Yes
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 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
Signature Title
Signature Date

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