FORM 1023-EZ for SHEYENNE VALLEY SOAP BOX DERBY CLUB

Field Data
EIN 46-1222480
Case Number EO-2018249-000220
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name SHEYENNE VALLEY SOAP BOX DERBY CLUB
Organization’s Mailing Address 357 CENTRAL AVE N
City VALLEY CITY
State ND
ZIP 58072
Accounting period End 8
Primary contact name WES KING
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

WESLEY KING
PRESIDENT
325 9TH AVE SW
VALLEY CITY ND 58072

Officer/Director/Trustee Two

NATE NELSON
VICE PRESIDENT
323 3RD ST NE
VALLEY CITY ND 58072

Officer/Director/Trustee Three

DOREEN SAYLER
TREASURER
323 N CENTRAL AVE
VALLEY CITY ND 58072

Officer/Director/Trustee Four

JOE SYKORA
SECRETARY
3063 COUNTRY MDWS
VALLEY CITY ND 58072

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 10/18/12
Organization Incorporation State ND
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: 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 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 WESLEY KING
Signature Title PRESIDENT
Signature Date 9/4/18

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