FORM 1023-EZ for HISTORIC CLARKSBURG WV CEMETERY PRESERVATION ALLIANCE INC

Field Data
EIN 81-2474222
Case Number EO-2016356-000309
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name HISTORIC CLARKSBURG WV CEMETERY PRESERVATION ALLIANCE INC
Organization’s Mailing Address 409 HAYMOND HIGHWAY
City CLARKSBURG
State WV
ZIP 26301
Accounting period End 12
Primary contact name SHAUN JEDJU
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

SHAUN JEDJU
PRESIDENT/DIRECTOR
409 HAYMOND HIGHWAY
CLARKSBURG WV 26301

Officer/Director/Trustee Two

MAGGIE JEDJU
VICE PRESIDENT/DIRECTOR
409 HAYMOND HIGHWAY
CLARKSBURG WV 26301

Officer/Director/Trustee Three

CYNTHIA SWIGER
SECRETARY/DIRECTOR
PO BOX 908
JANE LEW WV 26378

Officer/Director/Trustee Four

CHAD SIGMON
TREASURER/DIRECTOR
207 WAVERLY WAY
CLARKSBURG WV 26301

Officer/Director/Trustee Five

MIKE STARKEY JR
DIRECTOR
177 JENNY STREET
PHILIPPI WV 26416

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 4/26/2016
Organization Incorporation State WV
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code A80 - Historical Societies, Related Historical Activities
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
Signature Title
Signature Date

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