FORM 1023-EZ for VISABILITY-MINDSET OF SUCCESS EDUCATIONAL PROGRAM

Field Data
EIN 47-1852480
Case Number EO-2014294-000180
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name VISABILITY-MINDSET OF SUCCESS EDUCATIONAL PROGRAM
Organization’s Mailing Address 306 LONGVIEW AVENUE
City LEWISBURG
State WV
ZIP 24901-1736
Accounting period End 6
Primary contact name KATHERINE ICKES
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

KATHERINE ICKES
PRESIDENT
718 BEECH AVENUE
CHARLESTON WV 25302

Officer/Director/Trustee Two

DONNA BURNS
TREASURER
MUDDY CREEK MT RD BOX 89
ALDERSON WV 24910

Officer/Director/Trustee Three

CHRISTY CLEMONS-RODGERS
DIRECTOR
203 BROWN DRIVE
LEWISBURG WV 24901

Officer/Director/Trustee Four

BARBARA BOWLING
DIRECTOR
340 VILLA AVENUE
WHITE SULPHUR SPRING WV 24986

Officer/Director/Trustee Five

STEPHEN WEIR
DIRECTOR
718 BEECH AVENUE
CHARLESOTN WV 25302

Organization’s website WWW.GVECAFE.COM
Organization’s email VISABILITY7@GMAIL.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 9/17/2014
Organization Incorporation State WV
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code B24 - Primary, Elementary Schools
Organization’s purpose Charitable: No
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 Yes
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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