FORM 1023-EZ for EPIC KAYAK ULTIMATE

Field Data
EIN 47-2733609
Case Number EO-2015314-000304
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name EPIC KAYAK ULTIMATE
Organization’s Mailing Address 1368 SPADES CT
City NORTH POLE
State AK
ZIP 99705
Accounting period End 12
Primary contact name ANTHONY MUSTERED
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

ANTHONY MUSTERED
PRESIDENT
1289 LAKLOEY DR
NORTH POLE AK 99705

Officer/Director/Trustee Two

JARROD ZERBE
VICE PRESIDENT
707 COWELS ST APT 4
FAIRBANKS AK 99701

Officer/Director/Trustee Three

DANE FILEMYR
SECRETARY
305 COWELS ST UPPER APT
FAIRBANKS AK 99701

Officer/Director/Trustee Four

CATHRYN FORDHAM
TREASURER
1315 RAYMOND AVE
FAIRBANKS AK 99712

Officer/Director/Trustee Five

DUANE SHAFFER
BOARD MEMBER
2707 BONANZA TRL
FAIRBANKS AK 99709

Organization’s website EPICKAYAKULTIMATE.ORG
Organization’s email EPICKAYAKULTIMATE@GMAIL.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 12/19/2014
Organization Incorporation State AK
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 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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