FORM 1023-EZ for JACKSON HOLE YOUTH MOUNTAIN BIKING

Field Data
EIN 83-3900596
Case Number EO-2019072-000547
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name JACKSON HOLE YOUTH MOUNTAIN BIKING
Organization’s Mailing Address 1509 SUBLETTE DRIVE
City JACKSON
State WY
ZIP 83001
Accounting period End 12
Primary contact name ANDY WEENIG
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

ANDY WEENIG
PRESIDENT
PO BOX 2965
JACKSON WY 83001

Officer/Director/Trustee Two

MIKE WELCH
TREASURER
4095 BALSAM LANE
JACKSON WY 83001

Officer/Director/Trustee Three

NOLA PEACOCK
SECRETARY
PO BOX 11124
JACKSON WY 83002

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 3/8/19
Organization Incorporation State WY
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code N99 - Recreation, Sports, Leisure, Athletics N.E.C.
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 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 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 ANDY WEENIG
Signature Title PRESIDENT
Signature Date 3/11/19

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