FORM 1023-EZ for BIKE LAKE CITY

Field Data
EIN 82-4831670
Case Number EO-2018080-000240
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name BIKE LAKE CITY
Organization’s Mailing Address 1345 E BLAINE AVE
City SLC
State UT
ZIP 84105
Accounting period End 12
Primary contact name SHAWN ROSSITER
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

SHAWN ROSSITER
PRESIDENT
1345 E BLAINE AVE
SLC UT 84105

Officer/Director/Trustee Two

ROBERT MAYER
VICE PRESIDENT, TREASURER
1415 S ROXBURY ROAD
SLC UT 84108

Officer/Director/Trustee Three

MARY WILLIAMS
SECRETARY
2812 E SHERWOOD AVE
SLC UT 84108

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 3/19/18
Organization Incorporation State UT
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code N60 - Amateur Sports Clubs, Leagues, N.E.C.
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 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 SHAWN ROSSITER
Signature Title PRESIDENT
Signature Date 3/19/18

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