FORM 1023-EZ for NATCHEZ TRACE CYCLING

Field Data
EIN 83-2369338
Case Number EO-2018309-000223
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name NATCHEZ TRACE CYCLING
Organization’s Mailing Address PO BOX 242
City KOSCIUSKO
State MS
ZIP 39090-242
Accounting period End 12
Primary contact name KEN HOLMES
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

DONNA HOLDINESS
PRESIDENT
167 SHIELDS ROAD
KOSCIUSKO MS 39090

Officer/Director/Trustee Two

PICCOLAR JOHNSON
SECRETARY/TREASURER
2110 ATTALA ROAD 1130
KOSCIUSKO MS 39090

Officer/Director/Trustee Three

DAVID HARTMAN
VICE-PRESIDENT
403 MILLRUN ROAD
BRANDON MS 39047

Officer/Director/Trustee Four

GEORGE THOMAS
DIRECTOR
5622 OLD STAGE ROAD
BOULDER CO 80302

Officer/Director/Trustee Five

PAUL DORSA
DIRECTOR
322 GRANT PARK
FRANKLIN TN 37067

Organization’s website NATCHEZTRACECYCLING.COM
Organization’s email NATCHEZTRACECYCLING@YAHOO.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 10/30/18
Organization Incorporation State MS
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: Yes
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 DONNA HOLDINESS
Signature Title PRESIDENT
Signature Date 11/1/18

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