FORM 1023-EZ for VEGAS BLUE LINERS FC INC

Field Data
EIN 83-3625385
Case Number EO-2019133-000254
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name VEGAS BLUE LINERS FC INC
Organization’s Mailing Address 5000 DORRELL LANE
City LAS VEGAS
State NV
ZIP 89131
Accounting period End 12
Primary contact name TREVOR WAITE
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

T WAITE
CHIEF LEGAL OFFICER
6240 PEGGOTTY AVE
LAS VEGAS NV 89130-1312

Officer/Director/Trustee Two

ANNA RIVERA
TREASURER / SECRETARY
5000 DORRELL LANE
LAS VEGAS NV 89131

Officer/Director/Trustee Three

NATHAN RIVERA
PRESIDENT/DIRECTOR
5000 DORRELL LANE
LAS VEGAS NV 89131

Organization’s website
Organization’s email VEGASBLUELINERSFC@GMAIL.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 2/26/19
Organization Incorporation State NV
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code N64 - Soccer Clubs, Leagues
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 NATHAN RIVERA
Signature Title PRESIDENT/DIRECTOR
Signature Date 5/9/19

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