FORM 1023-EZ for THE NORTH IDAHO BLAZE TRACK AND FIELD CLUB

Field Data
EIN 84-5100812
Case Number EO-2020258-000649
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name THE NORTH IDAHO BLAZE TRACK AND FIELD CLUB
Organization’s Mailing Address PO BOX 16
City COEUR DALENE
State ID
ZIP 83816-0001
Accounting period End 12
Primary contact name DEBORA NELSON
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

DEBORA NELSON
PRESIDENT
PO BOX 16
COEUR D'ALENE ID 83816-0001

Officer/Director/Trustee Two

MICHAEL NELSON
VICE PRESIDENT
PO BOX 16
COEUR D'ALENE ID 83816-0001

Officer/Director/Trustee Three

MARY BELL
TREASURER
PO BOX 82
COEUR D'ALENE ID 83816

Officer/Director/Trustee Four

LINDA ROHLINGER
SECRETARY
4895 W MILL RIVER COURT
COEUR DALENE ID 83814

Officer/Director/Trustee Five

JUSTIN AGUILAR
COACH REPRESENTATIVE
702 E FOSTER AVE
COEUR DALENE ID 83814

Organization’s website WWW.NORTHIDAHOBLAZE.CLUB
Organization’s email NORTHIDAHOBLAZE@GMAIL.COM
Organization Incorporated No
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 3/12/2020
Organization Incorporation State ID
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 Yes
Donation of funds Yes
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 DEBORA NELSON
Signature Title PRESIDENT
Signature Date 9/11/2020

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