FORM 1023-EZ for THE SAN JUAN NORDIC CLUB

Field Data
EIN 26-4131806
Case Number EO-2018106-001284
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name THE SAN JUAN NORDIC CLUB
Organization’s Mailing Address PO BOX 227
City MONTE VISTA
State CO
ZIP 81144
Accounting period End 6
Primary contact name DAVID JONES
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

DAVID JONES
PRESIDENT
PO BOX 209
MONTE VISTA CO 81144

Officer/Director/Trustee Two

SUSANNE BEAUCHAINE
VICE PRESIDENT
870 PINE STREET
DEL NORTE CO 81132

Officer/Director/Trustee Three

TERRY DALEY
SECRETARY
PO BOX 811
MONTE VISTA CO 81144

Officer/Director/Trustee Four

DON THOMPSON
TREASURER
924 8TH STREET
ALAMOSA CO 81101-3108

Officer/Director/Trustee Five

ADAM MOORE
DIRECTOR
117 EDISON AVE
ALAMOSA CO 81101

Organization’s website SJNORDIC.WORDPRESS.COM
Organization’s email SANJUANNORDIC@GMAIL.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 11/23/15
Organization Incorporation State CO
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code N50 - Recreational, Pleasure, or Social Club
Organization’s purpose Charitable: No
Religious: No
Educational: Yes
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 Yes
Benefit of College No
Private Foundation 508(e) No
Seeking Retroactive Reinstatement No
Seeking Section 7 Reinstatement No
Correctness Declaration Yes
Signature Name DAVID JONES
Signature Title PRESIDENT
Signature Date 4/13/18

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