FORM 1023-EZ for BOONE COUNTY DEPUTY SHERIFFS ASSOCIATION

Field Data
EIN 47-5022920
Case Number EO-2015313-000180
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name BOONE COUNTY DEPUTY SHERIFFS ASSOCIATION
Organization’s Mailing Address 206 COURT STREET
City MADISON
State WV
ZIP 25130
Accounting period End 6
Primary contact name ROBERT L BIAS III CPA
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

DAVID SUTPHIN
PRESIDENT
206 COURT STREET
MADISON WV 25130

Officer/Director/Trustee Two

JEFF PAULEY
VP
206 COURT STREET
MADISON WV 25130

Officer/Director/Trustee Three

JEFF ROBINETTE
TREASURER
206 COURT STREET
MADISON WV 25130

Officer/Director/Trustee Four

CHAD HESS
RECORDER
206 COURT STREET
MADISON WV 25130

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 9/10/2015
Organization Incorporation State WV
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code W01 - Alliance/Advocacy Organizations
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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