FORM 1023-EZ for NICEVILLE TRACK CLUB

Field Data
EIN 83-0740111
Case Number EO-2018162-000341
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name NICEVILLE TRACK CLUB
Organization’s Mailing Address 312 SPANISH MOSS TRL
City DESTIN
State FL
ZIP 32541
Accounting period End 5
Primary contact name JAMES LAFOLLETTE
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

JAMES LAFOLLETTE
PRESIDENT
312 SPANISH MOSS TRL
DESTIN FL 32541-2603

Officer/Director/Trustee Two

TODD BRIGMAN
VICE-PRESIDENT
14596 STATE HIGHWAY 20
NICEVILLE FL 32578-8321

Officer/Director/Trustee Three

EMILY WEBB
SECRETARY
315 SPRING LANE
DESTIN FL 32541-1972

Organization’s website
Organization’s email NICEVILLETC@GMAIL.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 6/1/18
Organization Incorporation State FL
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: Yes
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 Yes
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 JAMES LAFOLLETTE
Signature Title PRESIDENT
Signature Date 6/8/18

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