FORM 1023-EZ for FAITH COMMUNITY COALITION FOR THE HOMELESS

Field Data
EIN 47-5452417
Case Number EO-2016012-000221
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name FAITH COMMUNITY COALITION FOR THE HOMELESS
Organization’s Mailing Address PO BOX 523
City MARTINSBURG
State WV
ZIP 25402
Accounting period End 12
Primary contact name MARIE KEEGIN
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

MARIE KEEGIN
OFFICER
83 MILD WINTER ROAD
HEDGESVILLE WV 25402

Officer/Director/Trustee Two

TRINA BARTLETT
TRESURER
224 SOUTH QUEEN STREET
MARITINSBURG WV 25401

Officer/Director/Trustee Three

COSBY POTTER-DAVIS
OFFICER
121 NORTH QUEEN STREET
MARTINSBURG WV 25401

Officer/Director/Trustee Four

ROSALEE CHIARA
BOARD MEMBER
91 AUTUM DRIVE
HEDGESVILLE WV 25427

Officer/Director/Trustee Five

JANIS WRIGHT
BOARD MEMBER
122 WEST MARTIN STREET
MARTINSBURG WV 25401

Organization’s website
Organization’s email WVFCCH@GMAIL.COM
Organization Incorporated No
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 1/7/2016
Organization Incorporation State WV
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code L40 - Low-Cost Temporary Housing
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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