FORM 1023-EZ for KANAWHA VALLEY EMMAUS - CHRYSALIS COMMUNITY INC

Field Data
EIN 55-0716534
Case Number EO-2016105-000222
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name KANAWHA VALLEY EMMAUS - CHRYSALIS COMMUNITY INC
Organization’s Mailing Address PO BOX 1295
City CHARLESTON
State WV
ZIP 25325-1295
Accounting period End 12
Primary contact name DAN DOMAN
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

DAN DOMAN
COMMUNITY DIRECTOR
1012 OVERLOOK DRIVE
BECKLEY WV 25801

Officer/Director/Trustee Two

ARNIE VAUGHN
VICE PRESIDENT
PO BOX 618
MABSCOTT WV 25871

Officer/Director/Trustee Three

JEANNE SNOW
TREASURER
2166 LAUREL FORK ROAD
CLENDENIN WV 25045

Officer/Director/Trustee Four

GINGER MARSHALL
SECRETARY
1213 OLD ECCLES ROAD
BECKLEY WV 25801

Officer/Director/Trustee Five

LEAH FELTON
DIRECTOR
462 20TH ST
DUNBAR WV 25064

Organization’s website KVEC.ORG
Organization’s email EMMAUS.KANAWHA@GMAIL.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 6/1/1971
Organization Incorporation State WV
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code X99 - Religion Related, Spiritual Development N.E.C.
Organization’s purpose Charitable: Yes
Religious: Yes
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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