FORM 1023-EZ for GARRETT CHAPEL COMMUNITY CHURCH

Field Data
EIN 55-0753871
Case Number EO-2017215-000477
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name GARRETT CHAPEL COMMUNITY CHURCH
Organization’s Mailing Address PO BOX 871
City CHAPMANVILLE
State WV
ZIP 25508
Accounting period End 12
Primary contact name KENDRA ADKINS EA
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

JAMES HIROSKEY
DIRECTOR
PO BOX 594
WHITMAN WV 25652

Organization’s website
Organization’s email
Organization Incorporated No
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 7/1/2017
Organization Incorporation State WV
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code K31 - Food Banks, Food Pantries
Organization’s purpose Charitable: No
Religious: Yes
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 No
Benefit of College No
Private Foundation 508(e) Yes
Seeking Retroactive Reinstatement Yes
Seeking Section 7 Reinstatement No
Correctness Declaration Yes
Signature Name
Signature Title
Signature Date

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