FORM 1023-EZ for CENTRAL APPALACHIA JOSEPH A HOLMESSAFETY ASSOCIATION
| Field | Data |
|---|---|
| EIN | 84-2648239 |
| Case Number | EO-2021100-000932 |
| Form 1023-EZ version | 12018 |
| Eligibility Worksheet | 1 |
| Organization Name | CENTRAL APPALACHIA JOSEPH A HOLMESSAFETY ASSOCIATION |
| Organization’s Mailing Address | 146 LOCK LANE |
| City | ALUM CREEK |
| State | WV |
| ZIP | 25003 |
| Accounting period End | 12 |
| Primary contact name | BRENTEN DOUGLAS BENDER |
| Primary contact phone | [Hidden] |
| Primary contact phone extension | [Hidden] |
| Primary contact fax | [Hidden] |
| User fee submitted | $275.00 |
Officer/Director/Trustee One
JAMES MEADOWS
PRESIDENT
151 MAPLE VIEW LANE
SHADY SPRINGS WV 25918
Officer/Director/Trustee Two
JERRY PIERCY
VICE PRESIDENT
169 MINE ACADEMY DR
BEAVER WV 25813
Officer/Director/Trustee Three
BRENTEN BENDER
TREASURER
146 LOCK LANE
ALUM CREEK WV 25003
Officer/Director/Trustee Four
ANDREW PROCOPIO
SECRETARY
8 WOODLAND HILLS DR
CHAPMANVILLE WV 25508
| Organization’s website | |
|---|---|
| Organization’s email | |
| Organization Incorporated | No |
| Organization trust | No |
| Necessary Organizing Documents | Yes |
| Organization Incorporation Date | 1/1/2020 |
| Organization Incorporation State | WV |
| Contains Limitation | Yes |
| Does not expressly empower | Yes |
| Contains dissolution | Yes |
| National Taxonomy of Exempt Entities (NTEE) code | M40 - Safety Education |
| 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 | No |
| Disaster relief assistance | No |
| One Third Support Public | No |
| One Third Support Gifts | No |
| Benefit of College | No |
| Private Foundation 508(e) | Yes |
| Seeking Retroactive Reinstatement | No |
| Seeking Section 7 Reinstatement | No |
| Correctness Declaration | Yes |
| Signature Name | BRENTEN BENDER |
| Signature Title | TREASURER |
| Signature Date | 3/30/2021 |
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