FORM 1023-EZ for BLUE HILLS RACE TEAM UA
| Field | Data |
|---|---|
| EIN | 81-4208521 |
| Case Number | EO-2016309-000128 |
| Form 1023-EZ version | 62014 |
| Eligibility Worksheet | 1 |
| Organization Name | BLUE HILLS RACE TEAM UA |
| Organization’s Mailing Address | 422 OLD CTY D |
| City | SHELL LAKE |
| State | WI |
| ZIP | 54871 |
| Accounting period End | 8 |
| Primary contact name | JILL DUNLAVY |
| Primary contact phone | [Hidden] |
| Primary contact phone extension | [Hidden] |
| Primary contact fax | [Hidden] |
| User fee submitted | $275.00 |
Officer/Director/Trustee One
JILL DUNLAVY
PRESIDENT
422 OLD CTY D
SHELL LAKE WI 54871
Officer/Director/Trustee Two
LEO DUNLAVY
VICE PRESIDENT
422 OLD CTY D
SHELL LAKE WI 54871
Officer/Director/Trustee Three
GEORGE P PETRY
TRUSTEE
1576 LAZY M ST
RED LODGE MT 59068
Officer/Director/Trustee Four
JEFF WIESMAN
TRUSTEE
266 RIVER ROAD SOUTH
AMHERST JUNCTION WI 54407
Officer/Director/Trustee Five
GEORGE A PETRY
TRUSTEE
1594 LAZY M ST
RED LODGE MT 59068
| Organization’s website | |
|---|---|
| Organization’s email | JILLD@SHAREDMEDTECH.COM |
| Organization Incorporated | No |
| Organization trust | No |
| Necessary Organizing Documents | Yes |
| Organization Incorporation Date | 10/24/2016 |
| Organization Incorporation State | WI |
| Contains Limitation | Yes |
| Does not expressly empower | Yes |
| Contains dissolution | Yes |
| National Taxonomy of Exempt Entities (NTEE) code | N68 - Winter Sports (Snow and Ice) |
| Organization’s purpose | Charitable: No 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 | 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 | |
| Signature Title | |
| Signature Date |
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