FORM 1023-EZ for ERNIES GIFT 4 CJD

Field Data
EIN 47-5150603
Case Number EO-2015272-000244
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name ERNIES GIFT 4 CJD
Organization’s Mailing Address 5 CAMPVIEW DR
City BARBOURSVILLE
State WV
ZIP 25504
Accounting period End 12
Primary contact name SABRINA DONAHUE-MOORE
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

SABRINA DONAHUE MOORE
PRESIDENT
5 CAMPVIEW DR
BARBOURSVILLE WV 25504

Officer/Director/Trustee Two

LAURA ROWSEY
SECRETARY
3 STEPHEN COURT
CULLODEN WV 25510

Officer/Director/Trustee Three

LAURA DONAHUE
TREASURER
2 DONAHUE CIRCLE
CULLODEN WV 25510

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 9/25/2015
Organization Incorporation State WV
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code A05 - Research Institutes and/or Public Policy Analysis
Organization’s purpose Charitable: Yes
Religious: No
Educational: No
Scientific: Yes
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 Yes
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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