FORM 1023-EZ for CROSS LANES COMMUNITY DEVELOPMENT COUNCIL INC

Field Data
EIN 46-5042337
Case Number EO-2015083-000057
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name CROSS LANES COMMUNITY DEVELOPMENT COUNCIL INC
Organization’s Mailing Address PO BOX 7933
City CROSS LANES
State WV
ZIP 25356
Accounting period End 12
Primary contact name BARRY HOLSTEIN
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

BARRY HOLSTEIN
PRESIDENT / DIRECTOR (CHAIR)
5006 ANN LEE DRIVE
CROSS LANES WV 25313

Officer/Director/Trustee Two

TAMMY GRAY
VICE PRESIDENT / DIRECTOR
PO BOX 7763
CROSS LANES WV 25356

Officer/Director/Trustee Three

PAM HAYNES
SECRETARY / TREASURER / DIRECTOR
119 FAIRLAND DRIVE
NITRO WV 25143

Officer/Director/Trustee Four

JOHN YOUNG
DIRECTOR
5207 DELLWAY DRIVE
CROSS LANES WV 25313

Officer/Director/Trustee Five

SCOTT FERRY
DIRECTOR
2 RALEIGH PLACE
CROSS LANES WV 25313

Organization’s website CROSSLANESWV.US
Organization’s email CROSSLANESWV@HOTMAIL.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 3/10/2014
Organization Incorporation State WV
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code S20 - Community, Neighborhood Development, Improvement (General)
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 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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