m. 1024 Application for Recognition of Exemption one- No. ammo (Flee. September 1993) Under SBCIIOH 501 Deputrnant oi the Treasury this be open Internal Revenue Service for publlc Ima?. Read the instructions for each Part carefully. A User Fee must be attached tothis application. If the required information and appropriate documents are not submitted along with Form 8718 (with payment of the appropriate user fee). the application may be returned to the organization. Complete the Procedural Checklist on page 6 of the instructions. Part I. identi?cation of Appiicant (Must be completed by all applicants: also complete appropriate schedule.) Submit only the sc edule that applies to your organization. 00 not submit blank schedules. Check the appropriate box baton? to indicate the section under which the organization is applying: a [3 Section holding corporations {Scheduleh page 7) POSTMARK RECEI ED Section leagues. social welfare organizations (including certain war veterans? organizations). or local associations cry employees {Schedule 3. page 0 8 2 6 20' Section agriculturai. or horticultural organizations (Schedule C. page 9) 5 8 2 8 2015 Section 501 lanai?Business leagues, chambers of commerce, etc. (Schedule C, page 9) a El Section clubs [Schedule 0. page 11) CWCINNATI i CI Section bene?ciary societies..etc.. providing lite. sick, accident. or other bene?ts to WW?ge 13) Section employees bene?ciary associations (Parts I through and Schedule F. page 14 11 CI Section manna?Domestic fraternal societies, orders. etc. not providing lire. sick. accident or other benefits (Schedule E. page 13) i Section life insurance associations. mutual ditch or irrigation companies. mutual or cooperative telephone companies. or Iike'organizadons [Schedule 5. page 15) Section crematoria. and like corporations (Schedule H. page 15} Section insurance companies or associations. other than life or marine (Schedule i, page Section providing for the payment of supplemental wrenployment compensation bene?ts (Pats I through IV and Schedule J. page 18) 1] Section poet. organization. auxiliary unit etc. or past or present members of the honed Forces oi the United States iScheduIe K. page 19) Section holding corporations or trusts (Schedule A, page 7) Full name of organization (as shown in organizing document) 2 Employer identi?cation number (EIN) (If none. see Speci?c Instructions on page 2) Ohio Valley Jobs Alliance. Inc. 47 5 440705? it: do Name (if applicable) 3 Name and telephone number of person to be contacted if additional information is needed to Address (number and street) - - RoomISuite Ro. Box 31 James Thomas ?td City, town or post office. state. and ZIP it If you have a foreign address. see Speci?c Instructions for Part I. page 2. Cameron. WV 25033 . 304 686-2457 to Web site address . 4 Month the annual accounting period ends 5 Date incorporated or fanned December May 22, 2015 - 6 Did the organization previoust apply for recognition or exemption order this Code section or under any other section of the Code? Yes No If Wes." attach an explanation. 7 Has the organization ?led Federal income tax returns or exempt organization information returns?Yes." state the form numbers. years ?led. and Internal Revenue of?ce where lied. 3 Check the box for the type of organization. ATTACH A CONFORMED COPY OF THE CORRESPONDING DOCUMENTS TO THE BEFORE MAILING.- El Corporation? Attach a copy of the Articles of incorporation [including amendments and restatements) showing approval by the appropriate state official; also attach a copy of the bylaws. Trust? Attach a copy of the Trust lndenture or Agreemnt. Including all appropriate signatures and dates. Association? Attach a copy of the Articles of Association. Constitution. or other creating document. with a declaration (see instructions) or other evidence that the organization was formed by adoption of the document by more than one person. Also Include a copy of the bylaws. ll this is a corporation or an unincorporated association that has not yet adopted bylaws. check here . . . . . I'declareundar the penetties of perjury that I am authorized to aim this application on Denali oi the above organization. and that have examined this Ircatron. Including the ace partying schedules and attachments. and to the best or my knowledge it is true. correct. and mmpleta.? sum - .. .HearseIreneLSantauEIreasua .-7 .- 3- 2015 HERE 2/ (Signature) {Type or print name and title or authority of signer] (Date) For Paperwork Reduction Act Notice. see page 5 of the instructions. Cat. No. 12343K ,1 1 1 ., Form 1024 {Rem 9.93) - Page 2 Part IL Activities and Operational information (Must be completed by all applicants) 1 Provide a detailed narrative description or all the activities of the organization?past. present. and planned. Do not merely refer to or repeat the language in the organizational document. List each activity separater in the order of importance based on the relative time and other reswrces devoted to the activity. Indicate the percentage of time for each activity. Each description should include, as a minimum, the following: a detailed description of the activity including its purpose and how each activity furthers your exempt pu'pose: lb) Men the activity was or will be initiated: and where and by whom the activity will be conducted. The Ohio Valley Jobs Alliance. inc. (the "Alliance") In a grassroots organization and movement whose mission is to promote and protect the good paying jobs in the Ohio Valley region. The current and future activities of the Alliance are as follows: The Alliance will educate the general public on issues related to its mission through public meetings and rallies. through social media and its website, issuing public statements on topics of interest, and through communication with local community leaders and government officials. The Alliance plans to recruit members to the organization through social media and its website, distributing It: informational materials at public events, and with communication directly to local residents. The Alliance will be making public comments on Issues before governmental entities where appropriate. The Alliance will be conducting fundraising events and soliciting funds for the Allied ce'e efforts from the general public. to) The Alliance hopes to be as active as possible with respect to each of the activities described aboire as soon as possible. to} All activities ofthe Alliance will be in the Ohio Valley or nearby regions of Ohio, and West Virginia. The Alliance's ail-volunteer Board and its members will be conducting the various activities mentioned above. 2 List the organization?s present and future sources of ?nancial support. beginning with the largest source first. Corporate donations individual donations Page 3 Form 1024 (Rev. 9?93) Part II. Activities and Operational Information (continued) 3 Give the following Infonnation about the organization's governing body: Annual compensation 8 Names, addresses. and titles of officers. directors. trustees. etc. Bruce Whipltey - Director and President- P.0. Box 91, Cameron. WV 26033 None Rey Young Director and Vioe President PD. Box 91, Camron, WV 26033 None None James Thomas - Director, Secretary. and Treasurer - PD. Box 91, Cameron, WV 26033 4 If the organization Is the outgrowth or continuation of any form of predecessor, state the name of each predecessor, the period during which it was in exiStenco. and the reasons for its termination. Submit copies of all papers by which any transfer of assets was effected. NJA 5 the applicant organization is now. or plans to be. connected In any way with any other organization. describe the other organization and explain the relationship ?nancial support on a continuing basis; shared facilities or employees: some of?cers. directors. or trustees}. NM. 6 lithe organization has capital stock issued and outstanding. state: (1) class or classes of the stock: number and par value of the shares: consideration for which they were Ismd; and ii any dividends have been paid or whether your organization?s treating in- strument authorizes dividend payments on any class of capital stock. The Alliance is a non-stock corporation. Ho stock has been or will be authorized or Issued. ?1 State the Qualifications necessary fer membership in the organization: the classes of membership (with the number of members in each class}; and the voting rights and privileges received. If any group or class of persons is required tojoin. describe the requirement and Explain the relationship between those members and members whojoln voluntarily. Submit copies of any membership solicitation material Attach sample copies of all types of membership certi?cates issued. The Alliance will offer membership to any person who requests to be a member of the Alliance. No other membership qualifications are imposed by the Alliance. Joining the Alliance as a member is free. Attached as Exhibit 3 are copies of membership solicitation material. No membership certi?cates will be issued. Explain how your organization's assets will be distributed on dissolution. See Exhibll 4. Form 1024 titan. see} Page 4 Part ll. Activities and Operational information (continued) 9 Has the organization made or does it plan to make any distribution of its property or surplus funds to shareholders or members?. it "Yes." state the full details. including: amounts or value; source of funds or property distributed or to be distributed: and basis of. and aurhonty for. distribution or planned distribution. Cl 1Yes No 10 Does. or will. any part of your organization's receipts represent payments for services performed-arm be perfonned?. Yes No If ?Yes." state in detail the amount received and the character of the services performed or to be perfonned. 11 Has the organisation made. or does it plan to make. any payments to members or shareholders for services performed if ?Yes." state in detail the amount paid. the character of the services. and to whom the payments have been, or will be. made. 12 Does the organization have any arrangement to provide insurance for members, their dependents. or others ?ncluding provisions for the payment of sick or death bene?ts. pensions. or annuities?Yes." describe and explain the arrangements eligibility rules and attach a sample copy of each plan document and each type of policy issued. 13 Is the organization under the supenisory jurisdiction of any public regulatory body. such as a social welfare agency. etc? . YesEiNo If "Yes.? submit copies of all administrative opinions or court decisions regarang this supervision. as well as copies of applications or requests for the opinions or decisions 14 Does the organization new lease ordees it plat to lease any propertyYes lilo if ?Yes." explain in detail. Include the amount of rent. a description of the property. and any relationship between the applicant organization and the other party. Also. attach a copy of any rental or lease agreement. ill?tha organization is a party. as a lessor. to multiple leases of rental real property under similar lease agreements. please attach a single representative copy of the leases.) 15 Has the organization spent or does it plan to spend any money attempting to influence the selection. nomination. election. or appointment of any person to any Federal. state. or local public of?ce or to an office in a political organization?. . Yes No If "Yes." explain in detail and list the amounts spent or to be epent in each case. 16 Does the organization publish pamphlets. brochures. newslettersjournais. orsimllar printed materiai"Yes." attach a recent copy of each. Form 1024 (Rail. 9-98} Part ill. Financial Data (Must be completed by all applicants) (rainwater this financial statements forms ctmant your and for each of the 3 years hornedfatoy heroic it. if in existel'tco less than 4 was. complela the A. Statement of Revenue and Expenses Pogo 5 . for each yaar in axislenoa. lfin existence less than 1 year, also promos proposed budgets for tho Ems following the mount your. Current Tax Year 3 Prior Tax Years or Proposed Budget for Hon 2 Years $22115 Revenue Present in) Total 1 Gross dues and assessments of members 0 0 0 ll 2 Gross corihioutions. gifts. etc. . 10,000 20,000 3 Gross amounts derived from activities related to the organization?s exempt purpose {attach 0 0 schodula) (Include related cost of sales on line 4 0 0 0 0 5 Gain from sale of assets. excluding inventory items 0 0 a (attach ScheduleInvestment income [see page a of tho instructions) 9 0- 0 9 7 Other revenue (attach schedule}. 0 0 . it a Tolairovonue [acid lines 1 through . 0 10:00? 19.9?" 29,099 Expenses ll Expenses atalbmable to activities related to the organim?mg armpt purpus? . . 0 man 9,000 18.59!) 10 Expenses attributable to umiated business activities 0 1'00? 31500 11 Contributions. gifts, grants, and similar amounts a I) paid [attach scheduleOther salaries and wagesOccupantsDapreciatim and depletion i 9 a 0 18 Other expenses (attach schedule) 3 0 19 Total oxpansas lines 9 through to) 9 mm? 10:09? 20:09? 20 Excess of revenue over expenses [line 3 minus line'lB}, 9 0 3 9 B. Balance Sheet (at the end of the period shown] Currant Tax Year Assets as of . 0 2 Accounts receivable. netalnventories. 3 4 Bonds and notes raceiirahla (attach scheduleCorporate stocks [attach scheduleMortgage loans (attach scheduleOther lnvesmiahts (attach schedule) . 7 0 a Daptaciabls and depretabla assets {attach schedule) 3 9 BLano?. 9 9 10 Other (attach scheduleotai assets . .. 11 ?3 Liabilities 12 Accounts payable . . 12 13 Contributions. grits, grams. etc, payable 13 14 Mortgages and notes payable (attach scheduleOther liabilities (attach scheduleTotal liabilitiesFund Balances or Net Assets 17 Total fund balances or not assets . . . . . . . . . . . . . . 77 18 Total liabilities and fund balances or net assets (ado line 16 and line . . . . . . 13 if there has been any submantial change in any aspect of tho organization?s ?nancial activities since the end of the period shown above. chew: the box and attach a detailed explanation.