FORM 1023-EZ for ALIVE2RIDE INC

Field Data
EIN 86-3960178
Case Number EO-2021174-000193
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name ALIVE2RIDE INC
Organization’s Mailing Address 3005 THUNDERBIRD DR
City HAYS
State KS
ZIP 67601-1422
Accounting period End 12
Primary contact name SUSAN DAY
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

GARY SHORMAN
PRESID&TREAS&SECT&DIRECT
3005 THUNDERBIRD DR
HAYS KS 67601

Officer/Director/Trustee Two

JASON SIMS
DIRECTOR & TRUSTEE
4689 N WOLVERINE PASS RD
APACHE JUNCTION AZ 85119

Officer/Director/Trustee Three

KELLY MODLIN
DIRECTOR & TRUSTEE
10824 SW ASHLEY RD
AUGUSTA KS 67101

Officer/Director/Trustee Four

MARTY PATTERSON
DIRECTOR & TRUSTEE
1205 W 12TH
HAYS KS 67601

Organization’s website ALIVE2RIDE.ORG
Organization’s email GARY.SHORMAN@EAGLECOM.NET
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 5/18/2021
Organization Incorporation State KS
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code G30 - Cancer
Organization’s purpose Charitable: Yes
Religious: No
Educational: No
Scientific: No
Literary: No
Public Safety: No
Amateur Sports: No
Cruelty Prevention: No
Qualify For Exemption No
Legislation influence No
Compensation of Officer director trustee No
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 GARY SHORMAN
Signature Title PRESID&TREAS&SECT&DIRECT
Signature Date 6/21/2021

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