FORM 1023-EZ for LEWIS COUNTY FIREFIGHTERS ASSOCIATION

Field Data
EIN 85-1448466
Case Number EO-2021200-000210
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name LEWIS COUNTY FIREFIGHTERS ASSOCIATION
Organization’s Mailing Address 201 ORCHARD STREET
City WESTON
State WV
ZIP 26452
Accounting period End 12
Primary contact name KEITH TALBERT
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

KEITH TALBERT
PRESIDENT
663 LYNN AVENUE
WESTON WV 26452

Officer/Director/Trustee Two

GARY HALL
VICE PRESIDENT
241 US HWY 33 W
WESTON WV 26452

Officer/Director/Trustee Three

JOSEPH SPRAY
TREASURER-SECRETARY
14844 US HWY 19 S
ROANOKE WV 26447

Organization’s website
Organization’s email LCWVFA@YAHOO.COM
Organization Incorporated No
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 6/29/2020
Organization Incorporation State WV
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code M03 - Professional Societies, Associations
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 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 KEITH TALBERT
Signature Title PRESIDENT
Signature Date 7/15/2021

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