FORM 1023-EZ for DODDRIDGE COUNTY ATV CLUB

Field Data
EIN 87-1499273
Case Number EO-2021187-000370
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name DODDRIDGE COUNTY ATV CLUB
Organization’s Mailing Address 143 M AND M HOLLOW ROAD
City PENNSBORO
State WV
ZIP 26415
Accounting period End 12
Primary contact name DONALD L MOSSOR JR
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

DONALD MOSSOR JR
PRESIDENT
143 M AND M HOLLOW ROAD
PENNSBORO WV 26415

Officer/Director/Trustee Two

ISAIAH RICHARDS
VICE PRESIDENT
114 TURKEY LICK ROAD
WEST UNION WV 26456

Officer/Director/Trustee Three

AUTUMN SENDLING
SECRETARY
1458 ROCK CAMP ROAD
CLARKSBURG WV 26301

Officer/Director/Trustee Four

AMANDA LIPSCOMB
TREASURER
900 WILHELM RUN ROAD
PENNSBORO WV 26415

Organization’s website
Organization’s email DONALDMOSSOR0@GMAIL.COM
Organization Incorporated No
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 7/1/2021
Organization Incorporation State WV
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code P12 - 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 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 Yes
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 DONALD MOSSOR JR
Signature Title PRESIDENT
Signature Date 7/2/2021

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