FORM 1023-EZ for COUGAR FIELDS FOUNDATION

Field Data
EIN 30-0940936
Case Number EO-2016298-000275
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name COUGAR FIELDS FOUNDATION
Organization’s Mailing Address 18 CALIFORNIA AVENUE
City CHARLESTON
State WV
ZIP 25311
Accounting period End 12
Primary contact name CHAD ROBINSON
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

CHAD ROBINSON
PRESIDENT
4616 NOYES AVENUE
CHARLESTON WV 25304

Officer/Director/Trustee Two

JOHN BARRY
VP/TREASURER
5005 STAUNTON AVENUE
CHARLESTON WV 25304

Officer/Director/Trustee Three

ROBERT PLUTRO
SECRETARY
119 PHYLLIS DRIVE
CHARLESTON WV 25302

Officer/Director/Trustee Four

SUSAN GARRISON
BOARD MEMBER
1500 GREENBRIER STREET
CHARLESTON WV 25311

Officer/Director/Trustee Five

RILEY GIBSON
BOARD MEMBER
3818 NOYES AVENUE
CHARLESTON WV 25304

Organization’s website
Organization’s email
Organization Incorporated No
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 6/14/2016
Organization Incorporation State WV
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code N12 - Fund Raising and/or Fund Distribution
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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