FORM 1023-EZ for BLACKOUT LAW ENFORCEMENT MOTORCYCLECLUB MOUNTAIN STATE CHAPTER

Field Data
EIN 85-3485744
Case Number EO-2020300-000466
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name BLACKOUT LAW ENFORCEMENT MOTORCYCLECLUB MOUNTAIN STATE CHAPTER
Organization’s Mailing Address 1461 STRINGTOWN ROAD
City HICO
State WV
ZIP 25854
Accounting period End 12
Primary contact name DARRELL W HYPES
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

DARRELL HYPES
PRESIDENT
1461 STRINGTOWN ROAD
HICO WV 25854

Officer/Director/Trustee Two

SETH STOVER
SECRETARY
101 TERRY AVENUE
OAK HILL WV 25901

Officer/Director/Trustee Three

RICHARD GIPSON
TREASURER
44416 MIDLAND TRAIL
RAINELLE WV 25962

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 10/16/2020
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 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 DARRELL HYPES
Signature Title PRESIDENT
Signature Date 10/22/2020

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