FORM 1023-EZ for SYLVESTER PAVILION PARK INC

Field Data
EIN 47-2239235
Case Number EO-2015064-000196
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name SYLVESTER PAVILION PARK INC
Organization’s Mailing Address PO BOX 10
City SYLVESTER
State WV
ZIP 25193
Accounting period End 12
Primary contact name KIMBERLY KINCAID
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

KIMBERLY KINCAID
PRESIDENT
PO BOX 301
PEYTONA WV 25154

Officer/Director/Trustee Two

KELSEY WILLIAMS
SECRETARY
58 EAST WOODLAND DRIVE
PEYTONA WV 25154

Officer/Director/Trustee Three

JEFF ASBURY
VICE-PRESIDENT
ROUTE 3
SYLVESTER WV 25154

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 9/26/2014
Organization Incorporation State WV
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code C99 - Environmental Quality, Protection, and Beautification N.E.C.
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 No
Benefit of College No
Private Foundation 508(e) Yes
Seeking Retroactive Reinstatement No
Seeking Section 7 Reinstatement No
Correctness Declaration Yes
Signature Name
Signature Title
Signature Date

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