FORM 1023-EZ for NMHU ATHLETIC H CLUB

Field Data
EIN 47-1915411
Case Number EO-2015028-000205
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name NMHU ATHLETIC H CLUB
Organization’s Mailing Address 986 E MOWRY WASH LANE
City SAHUARITA
State AZ
ZIP 85629-6669
Accounting period End 12
Primary contact name PAMEL CHAVIOUS
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

RONALD YOUNG
PRESIDENT
7700 E OXFORD AVENUE
DENVER CO 80237-2163

Officer/Director/Trustee Two

DAVID LUNA
TREASURER
2032 CASSIDY
LAS VEGAS NM 87701

Officer/Director/Trustee Three

PERMON CHAVIOUS
VICE-PRESIDENT
986 E MOWRY WASH LANE
SAHUARITA AZ 85629-6669

Officer/Director/Trustee Four

PAMELA CHAVIOUS
SECRETARY
986 E MOWRY WASH LANE
SAHUARITA AZ 87701

Officer/Director/Trustee Five

JIM ABREU
DIRECTOR/LIAISON FOR FOOTBALL
714 MYRTLE
LAS VEGAS NM 87701

Organization’s website
Organization’s email CHAVIOUS2@YAHOO.COM
Organization Incorporated No
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 9/18/2014
Organization Incorporation State NM
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code B11 - Single Organization Support
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 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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