FORM 1023-EZ for HELPING LITTLE MOUNTAINEARS HEAR INC

Field Data
EIN 81-3235440
Case Number EO-2016256-000398
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name HELPING LITTLE MOUNTAINEARS HEAR INC
Organization’s Mailing Address 1150 AVALON ROAD
City FAIRMONT
State WV
ZIP 26554
Accounting period End 6
Primary contact name ASHLEY MERRIFIELD
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

ASHLEY MERRIFIELD
PRESIDENT
1150 AVALON ROAD
FAIRMONT WV 26554

Officer/Director/Trustee Two

TAASHA BEITZ
TREASURER
3315 STEWARTSTOWN ROAD
MORGANTOWN WV 26508

Officer/Director/Trustee Three

AMANDA LAKE
SECRETARY
131 MOSSY OAK TRAIL
FAIRMONT WV 26554

Officer/Director/Trustee Four

LEANN DIANDRETH-ELKINS
DIRECTOR
1505 FOXTROT DRIVE
MORGANTOWN WV 26508

Officer/Director/Trustee Five

LEIGH SMITLEY
DIRECTOR
1024 EAGLE RUN
MORGANTOWN WV 26508

Organization’s website
Organization’s email AMERRIFIELD@HLMHEAR.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 6/27/2016
Organization Incorporation State WV
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code P12 - Fund Raising and/or Fund Distribution
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 Yes
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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