FORM 1023-EZ for POTOMAC HIGHLANDS WEST VIRGINIA UNIVERSITY ALUMNI ASSOCIATION CHAPTER

Field Data
EIN 81-3199201
Case Number EO-2016196-000356
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name POTOMAC HIGHLANDS WEST VIRGINIA UNIVERSITY ALUMNI ASSOCIATION CHAPTER
Organization’s Mailing Address 108 N MAIN STREET
City Petersburg
State WV
ZIP 26847
Accounting period End 12
Primary contact name DONNA ALEXANDER
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

JARED AMTOWER
PRESIDENT
3 N MAIN STREET
PETERSBURG WV 26847

Officer/Director/Trustee Two

BOB PARSONS
VICE PRESIDENT
108 N MAIN STREET
PETERSBURG WV 26847

Officer/Director/Trustee Three

KATHI WELTON-DAVY
SECRETARY
76 HUNTER HILL LANE
MOOREFIELD WV 26836

Officer/Director/Trustee Four

DONNA ALEXANDER
TREASURER
108 N MAIN STREET
PETERSBURG WV 26847

Organization’s website
Organization’s email
Organization Incorporated No
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 9/24/2015
Organization Incorporation State WV
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code B84 - Alumni Associations
Organization’s purpose Charitable: No
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 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 No
Benefit of College Yes
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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