FORM 1023-EZ for WESTERN GREENBRIER COMMUNITY TABLEAND MARKET

Field Data
EIN 82-1603464
Case Number EO-2021265-000228
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name WESTERN GREENBRIER COMMUNITY TABLEAND MARKET
Organization’s Mailing Address 9200 JAMES RIVER AND KANAWHA TPKE
City SMOOT
State WV
ZIP 24977-7049
Accounting period End 12
Primary contact name SARAH L MCILVAINE
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

SARAH MCILVAINE
TREASURER
9200 JAMES RIVER AND KANAWHA TPKE
SMOOT WV 24977-7049

Officer/Director/Trustee Two

DAVID HYPES
PRESIDENT
1543 CAVENDISH ROAD
RAINELLE WV 25962-6423

Officer/Director/Trustee Three

ELIZABETH SMAILES
VICE-PRESIDENT
1634 LOOPS ROAD
RAINELLE WV 25962

Officer/Director/Trustee Four

GERTRUDE BAGLEY
SECRETARY
PO BOX 621
RAINELLE WV 25962-0621

Officer/Director/Trustee Five

RANELL VALDEZ
MARKET MANAGER
PO BOX 203
RAINELLE WV 25962-0203

Organization’s website
Organization’s email SARAH_MCILVAINE@YAHOO.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 5/26/2017
Organization Incorporation State WV
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code K99 - Food, Agriculture, and Nutrition N.E.C.
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 Yes
One Third Support Gifts No
Benefit of College No
Private Foundation 508(e) No
Seeking Retroactive Reinstatement Yes
Seeking Section 7 Reinstatement No
Correctness Declaration Yes
Signature Name SARAH MCILVAINE
Signature Title TREASURER
Signature Date 9/9/2021
EIN 82-1603464
Case Number EO-2017184-000249
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name WESTERN GREENBRIER COMMUNITY TABLE AND MARKET
Organization’s Mailing Address 9200 JAMES RIVER AND KANAWHA TURNPK
City SMOOT
State WV
ZIP 24977
Accounting period End 12
Primary contact name SARAH MCILVANE
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

JAMES EDENS
PRESIDENT, BOARD MEMBER
1266 ANJEAN RD
RUPERT WV 25984

Officer/Director/Trustee Two

ELIZABETH SMAILES
VICE PRESIDENT, BOARD MEMBER
1634 LOOPS RD
RAINELLE WV 25962

Officer/Director/Trustee Three

TRUDY COVINGTON
SECRETARY, BOARD MEMBER
PO BOX 621
RAINELLE WV 25962

Officer/Director/Trustee Four

SARAH MCILVAINE
TREASURER, BOARD MEMBER
9200 JAMES RIVER AND KANAWHA TPKE
SMOOT WV 24977

Officer/Director/Trustee Five

MARY SURBAUGH
BOARD MEMBER
1032 COLD HOLLOW RD
RAINELLE WV 25962

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 5/26/2017
Organization Incorporation State WV
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code K99 - Food, Agriculture, and Nutrition N.E.C.
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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