FORM 1023-EZ for TRI-CITY BMX INC

Field Data
EIN 14-1814000
Case Number EO-2018011-000159
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name TRI-CITY BMX INC
Organization’s Mailing Address 1009 LAURAL LANE
City BALLSTON SPA
State NY
ZIP 12020
Accounting period End 12
Primary contact name SARAH ROBICHAUD
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

SARAH ROBICHAUD
PRESIDENT/TRACK OPERATOR
1009 LAURAL LANE
BALLSTON SPA NY 12020

Officer/Director/Trustee Two

TERRY MILLER
TREASURE
964 HOOSICK RD
TROY NY 12180

Officer/Director/Trustee Three

JENNIFER SCHMIDT
SECRETARY
27 ORCHARD ST
DELMAR NY 12054

Officer/Director/Trustee Four

CHRISTOPHER FITCH
MEMBER AT LARGE
265 VAN VORST RD
BALLSTON LAKE NY 12019

Officer/Director/Trustee Five

SCOTT DOLAND
ASSISTANT TRACK OPERATOR
579 STATE ROUTE 44/55
HIGHLAND NY 12528

Organization’s website WWW.TRI-CITYBMX.ORG
Organization’s email TRICITYBMXINFO@GMAIL.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 4/12/99
Organization Incorporation State NY
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code N70 - Amateur Sports Competitions
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 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 Yes
Correctness Declaration Yes
Signature Name SARAH ROBICHAUD
Signature Title PRESIDENT/TRACK OPERATOR
Signature Date 1/9/18

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