FORM 1023-EZ for WV SHOCKERS

Field Data
EIN 81-2449105
Case Number EO-2016126-000270
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name WV SHOCKERS
Organization’s Mailing Address 1219 THOMAS RD
City S CHARLESTON
State WV
ZIP 25303
Accounting period End 12
Primary contact name MATTHEW ANDERSON
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

MELISSA DARNALL
TREASURER
900 FINNEY RD
DUNBAR WV 25064

Officer/Director/Trustee Two

CASSIE ALLARA
SECRETARY
1218 THOMAS RD
S CHARLESTON WV

Officer/Director/Trustee Three

MATTHEW ANDERSON
PRESIDENT
1219 THOMAS RD
S CHARLESTON WV

Officer/Director/Trustee Four

APRIL HARLESS
VICE PRESIDENT
1054 MONTROSE DR
S CHARLESTON WV

Organization’s website
Organization’s email WVSHOCKERSLTD@GMAIL.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 4/25/2016
Organization Incorporation State WV
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code N60 - Amateur Sports Clubs, Leagues, N.E.C.
Organization’s purpose Charitable: No
Religious: No
Educational: No
Scientific: No
Literary: No
Public Safety: No
Amateur Sports: Yes
Cruelty Prevention: No
Qualify For Exemption No
Legislation influence No
Compensation of Officer director trustee No
Donation of funds Yes
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 No
Seeking Section 7 Reinstatement No
Correctness Declaration Yes
Signature Name
Signature Title
Signature Date

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