FORM 1023-EZ for CYCLING WITHOUT AGE INC

Field Data
EIN 81-2914152
Case Number EO-2017306-000298
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name CYCLING WITHOUT AGE INC
Organization’s Mailing Address 200 SEA CLIFF AVE STE 43
City SEA CLIFF
State NY
ZIP 11579
Accounting period End 12
Primary contact name KELLY TALCOTT
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

KELLY TALCOTT
PRESIDENT
200 SEA CLIFF AVE
SEA CLIFF NY 11579

Officer/Director/Trustee Two

KATHRYN SCHNEIDER
OFFICER
10 CHARLES ST
GLEN COVE NY 11542

Officer/Director/Trustee Three

OLE KASSOW
OFFICER
200 SEA CLIFF AVE
SEA CLIFF NY 11579

Organization’s website WWW.CYCLINGWITHOUTAGE.COM
Organization’s email KELLY@CYCLINGWITHOUTAGE.ORG
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 6/1/2016
Organization Incorporation State NY
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code P20 - Human Service Organizations - Multipurpose
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 Yes
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
Signature Title
Signature Date

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