FORM 1023-EZ for MINERAL COUNTY COURT APPOINTED SPECIAL ADVOCATES CASA PROGRAM

Field Data
EIN 26-3653657
Case Number EO-2016120-000148
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name MINERAL COUNTY COURT APPOINTED SPECIAL ADVOCATES CASA PROGRAM
Organization’s Mailing Address 251 1/2 WEST PIEDMONT STREET
City KEYSER
State WV
ZIP 26726
Accounting period End 6
Primary contact name GERRI MASON
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

GERRI MASON
INTERIM DIRECTOR
650 WEST PIEDMONT ST
KEYSER WV 26726-2422

Officer/Director/Trustee Two

SARAH BURKE
BOARD PRESIDENT
130 CENTER STREET
KEYSER WV 26726-3252

Officer/Director/Trustee Three

GINA SPRIGGS
SECRETARY
251 WEST PIEDMONT STREET
KEYSER WV 26726-2718

Officer/Director/Trustee Four

SHANNON MEEK
TREASURER
370 VALLEY VIEW ROAD
KEYSER WV 26726

Organization’s website
Organization’s email MINCOCASA@HOTMAIL.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 10/6/2005
Organization Incorporation State WV
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code I72 - Child Abuse, Prevention of
Organization’s purpose Charitable: Yes
Religious: No
Educational: Yes
Scientific: No
Literary: No
Public Safety: No
Amateur Sports: No
Cruelty Prevention: Yes
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 Yes
Seeking Section 7 Reinstatement No
Correctness Declaration Yes
Signature Name
Signature Title
Signature Date

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