FORM 1023-EZ for NICHOLAS COUNTY SHOP WITH A FIRST RESPONDER INC

Field Data
EIN 83-2975745
Case Number EO-2019038-000387
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name NICHOLAS COUNTY SHOP WITH A FIRST RESPONDER INC
Organization’s Mailing Address 119 EAST MOUNT LOOKOUT ROAD
City MOUNT LOOKOUT
State WV
ZIP 26678-9273
Accounting period End 12
Primary contact name NOAH ALLEN
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

STEVEN MURPHY
PRESIDENT
6292 SNOW HILL ROAD
MOUNT NEBO WV 26679-8149

Officer/Director/Trustee Two

JAY NOWAK
VICE PRESIDENT
400 BROAD STREET
SUMMERSVILLE WV 26679-1304

Officer/Director/Trustee Three

HOLLY CUMMINGHAM
SECRETARY
900 BROAD STREET
SUMMERSVILLE WV 26651

Officer/Director/Trustee Four

NOAH ALLEN
TREASURER
2882 POOL ROAD
MOUNT NEBO WV 26679

Organization’s website HTTPS://WWW.FACEBOOK.COM/SHOPWITHAFIRSTRESPONDER/
Organization’s email NCSFR@YAHOO.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 1/2/19
Organization Incorporation State WV
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code S20 - Community, Neighborhood Development, Improvement (General)
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 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 NOAH ALLEN
Signature Title TREASURER
Signature Date 1/30/19

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