FORM 1023-EZ for HARDY COUNTY HEALTH AND WELLNESS CENTER INC

Field Data
EIN 85-2425981
Case Number EO-2020230-000273
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name HARDY COUNTY HEALTH AND WELLNESS CENTER INC
Organization’s Mailing Address 411 SPRING AVENUE
City MOOREFIELD
State WV
ZIP 26836
Accounting period End 6
Primary contact name DONNA ALEXANDER
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

NEIL GILLIES
CHAIRPERSON
1005 SKAGGS RUN ROAD
BAKER WV 26801

Officer/Director/Trustee Two

VERNON MONGOLD
VICE CHAIRPERSON
469 ALUM ROAD
MOOREFIELD WV 26836

Officer/Director/Trustee Three

VERONICA BANKS
TREASURER
283 LOCUST RIDGE ROAD
MOOREFIELD WV 26836

Officer/Director/Trustee Four

HOLLY LANDES
SECRETARY
8834 SOUTH FORK ROAD
MOOREFIELD WV 26836

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 5/18/2020
Organization Incorporation State WV
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code N31 - Community Recreational Centers
Organization’s purpose Charitable: Yes
Religious: No
Educational: Yes
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 NEIL GILLIES
Signature Title CHAIRPERSON
Signature Date 8/12/2020

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