FORM 1023-EZ for MASON DIXON JUNIOR RIFLE CLUB INC

Field Data
EIN 47-4216970
Case Number EO-2018280-000045
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name MASON DIXON JUNIOR RIFLE CLUB INC
Organization’s Mailing Address 86 ANTIETAM DRIVE
City MORGANTOWN
State WV
ZIP 26508-9005
Accounting period End 12
Primary contact name HEATHER SAWYER
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

HEATHER SAWYER
PRESIDENT
86 ANTIETAM DRIVE
MORGANTOWN WV 26508-9005

Officer/Director/Trustee Two

CYNTHIA COX
VICE PRESIDENT
352 MOORESVILLE ROAD
CORE WV 26541-6927

Officer/Director/Trustee Three

RICHARD SAWYER
TREASURER
86 ANTIETAM DRIVE
MORGANTOWN WV 26508-9005

Officer/Director/Trustee Four

SHANNON LOUGH
SECRETARY
510 GLORY BARN ROAD
MORGANTOWN WV 26501-9683

Organization’s website
Organization’s email MASONDIXONJRC@LIVE.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 3/17/14
Organization Incorporation State WV
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code O20 - Youth Centers, Clubs, Multipurpose
Organization’s purpose Charitable: No
Religious: No
Educational: Yes
Scientific: No
Literary: No
Public Safety: No
Amateur Sports: Yes
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 HEATHER SAWYER
Signature Title PRESIDENT
Signature Date 10/3/18
EIN 47-4216970
Case Number EO-2015182-000126
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name MASON DIXON JUNIOR RIFLE CLUB INC
Organization’s Mailing Address 86 ANTIETAM DRIVE
City MORGANTOWN
State WV
ZIP 26508
Accounting period End 12
Primary contact name HEATHER SAWYER
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

HEATHER SAWYER
PRESIDENT
86 ANTIETAM DRIVE
MORGANTOWN WV 26508-9005

Officer/Director/Trustee Two

MARK PISSOS
VICE PRESIDENT
7 LAURELWOOD ESTATES
WHEELING WV 26003-9717

Officer/Director/Trustee Three

RICHARD SAWYER
TREASURER
86 ANTIETAM DRIVE
MORGANTOWN WV 26508-9005

Officer/Director/Trustee Four

CYNTHIA COX
SECRETARY
352 MOORESVILLE ROAD
CORE WV 26541-6927

Organization’s website
Organization’s email MASONDIXONJRC@LIVE.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 3/17/2014
Organization Incorporation State WV
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code O20 - Youth Centers, Clubs, Multipurpose
Organization’s purpose Charitable: No
Religious: No
Educational: Yes
Scientific: No
Literary: No
Public Safety: No
Amateur Sports: Yes
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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