FORM 1023-EZ for CAPITAL CITY ATHLETICS

Field Data
EIN 46-5365407
Case Number EO-2015224-000321
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name CAPITAL CITY ATHLETICS
Organization’s Mailing Address 3525 RANDY ROAD
City CHEYENNE
State WY
ZIP 82001
Accounting period End 12
Primary contact name RUSTY WILLIAMS
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

TRINA WILLIAMS
PRESIDENT
3587 STAMPEDE RANCH RD
CHEYENNE WY 82007

Officer/Director/Trustee Two

RUSSELL WILLIAMS
TREASURER
3587 STAMPEDE RANCH RD
CHEYENNE WY 82007

Officer/Director/Trustee Three

JASON GARMAN
BOARD MEMBER
3525 RANDY RD
CHEYENNE WY 82001

Officer/Director/Trustee Four

LARRY WHITE
BOARD MEMBER
1521 WILLOW DR
CHEYENNE WY 82001

Officer/Director/Trustee Five

LORI HUBBS
SECRETARY
2789 CHRYSLER RD
CHEYENNE WY 82009

Organization’s website WWW.CCACUTTHROATS.COM
Organization’s email CCACUTTHROATS@GMAIL.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 11/13/2014
Organization Incorporation State WY
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code N67 - Swimming, Water Recreation
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
Signature Title
Signature Date

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