FORM 1023-EZ for WV BLUE LINE K9 ASSOCIATION CORPORATION

Field Data
EIN 81-4900145
Case Number EO-2017011-000308
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name WV BLUE LINE K9 ASSOCIATION CORPORATION
Organization’s Mailing Address 301 VIRGINIA STREET EAST
City CHARLESTON
State WV
ZIP 25301
Accounting period End 12
Primary contact name PAXTON LIVELY
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

PAXTON LIVELY
PRESIDENT
301 VIRGINIA STREET EAST
CHARLESTON WV 25301

Officer/Director/Trustee Two

RICHARD LANE
TREASURER
301 VIRGINIA STREET EAST
CHARLESTON WV 25301

Officer/Director/Trustee Three

CHRISTOPHER LYONS
VICE PRESIDENT
301 VIRGINIA STREET EAST
CHARLESTON WV 25301

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 1/9/2017
Organization Incorporation State WV
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code J03 - Professional Societies, Associations
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
Signature Title
Signature Date

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