FORM 1023-EZ for INDIAN CREEK COMMUNITY BUILDING CEM INC

Field Data
EIN 55-0749148
Case Number EO-2015049-000238
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name INDIAN CREEK COMMUNITY BUILDING CEM INC
Organization’s Mailing Address RR1 BOX 46E
City UNION
State WV
ZIP 24983-9515
Accounting period End 12
Primary contact name JOHN TIMOTHY FULLEN
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

JERRY FULLEN
TREASURER
RR1 BOX 46A
UNION WV 24983

Officer/Director/Trustee Two

JOHN FULLEN
PRESIDENT
22401 SENECA TRAIL S
UNION WV 24983

Officer/Director/Trustee Three

KEVIN FULLEN
TRUSTEE
RR1
UNION WV 24983

Officer/Director/Trustee Four

EUGENE FULLEN
TRUSTEE
RR1 BOX 46B
UNION WV 24983

Officer/Director/Trustee Five

SUSIE FULLEN
SECRETARY
RR1 BOX 46A
UNION WV 24983

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 7/15/1994
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 Yes
One Third Support Gifts No
Benefit of College No
Private Foundation 508(e) No
Seeking Retroactive Reinstatement Yes
Seeking Section 7 Reinstatement No
Correctness Declaration Yes
Signature Name
Signature Title
Signature Date

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