FORM 1023-EZ for GREEN HILL CEMETERY ASSOCIATION

Field Data
EIN 30-0971664
Case Number EO-2018337-000144
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name GREEN HILL CEMETERY ASSOCIATION
Organization’s Mailing Address 9271 ELK CREEK RD
City PHILIPPI
State WV
ZIP 26416
Accounting period End 12
Primary contact name LOIS TITCHNELL
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

LOIS TITCHNELL
TRUSTEE
66 SANDSTONE LN
PHILIPPI WV 26416-7157

Officer/Director/Trustee Two

JEANETTE PAUGH
TRUSTEE
6123 BUCKHANNON PIKE
MT. CLARE WV 26408-6889

Officer/Director/Trustee Three

LINDA WILLIAMS
TRUSTEE
6015 BUCKHANNON PIKE
MT. CLARE WV 26408-6887

Officer/Director/Trustee Four

CAROL MCCONNELL
TRUSTEE
7830 BUCKHANNON PIKE
MT. CLARE WV 26408-6924

Officer/Director/Trustee Five

TABITHA ROLLINS
TRUSTEE
7830 BUCKHANNON PIKE
MT. CLARE WV 26408-6924

Organization’s website
Organization’s email
Organization Incorporated No
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 3/23/17
Organization Incorporation State WV
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code Y50 - Cemeteries, Burial Services
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 LOIS TITCHNELL
Signature Title TRUSTEE
Signature Date 11/29/18

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