FORM 1023-EZ for CYCLING CLUB AT INDIANA UNIVERSITYINCORPORATED

Field	Data
EIN	84-3145827
Case Number	EO-2019311-000139
Form 1023-EZ version	12018
Eligibility Worksheet	1
Organization Name	CYCLING CLUB AT INDIANA UNIVERSITYINCORPORATED
Organization’s Mailing Address	1025 E 7TH STREET RM 290
City	BLOOMINGTON
State	IN
ZIP	47405-7109
Accounting period End	5
Primary contact name	ZACHARY STEVENS
Primary contact phone	[Hidden]
Primary contact phone extension	[Hidden]
Primary contact fax	[Hidden]
User fee submitted	$275.00

Officer/Director/Trustee One

ZACHARY STEVENS
PRESIDENT/DIRECTOR
321 E 14TH ST
BLOOMINGTON IN 47408-2082

Officer/Director/Trustee Two

MARGARET NICHOLSON
CMO/DIRECTOR
807 N WALNUT ST
BLOOMINGTON IN 47404-3696

Officer/Director/Trustee Three

EMILY MAILMAN
CFO
1025 E 7TH ST RM 290
BLOOMINGTON IN 47405-7109

Officer/Director/Trustee Four

CHARLES MCCLARY
DIRECTOR
3309 S CEDARWOOD CIR
BLOOMINGTON IN 47401-8187

Officer/Director/Trustee Five

AARON PRANGE
DIRECTOR
1025 E 7TH ST RM 290
BLOOMINGTON IN 47405-7109

Organization’s website
Organization’s email	IUCC.ACCT@GMAIL.COM
Organization Incorporated	Yes
Organization trust	No
Necessary Organizing Documents	Yes
Organization Incorporation Date	9/23/19
Organization Incorporation State	IN
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: 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	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	ZACHARY STEVENS
Signature Title	PRESIDENT/DIRECTOR
Signature Date	11/5/19
EIN	84-3145827
Case Number	EO-2019311-000139
Form 1023-EZ version	12018
Eligibility Worksheet	1
Organization Name	CYCLING CLUB AT INDIANA UNIVERSITY INCORPORATED
Organization’s Mailing Address	1025 E 7TH STREET RM 290
City	BLOOMINGTON
State	IN
ZIP	47405-7109
Accounting period End	5
Primary contact name	ZACHARY STEVENS
Primary contact phone	[Hidden]
Primary contact phone extension	[Hidden]
Primary contact fax	[Hidden]
User fee submitted	$275.00