FORM 1023-EZ for MELROSE YOUTH TRAP CLUB

Field Data
EIN 81-3297344
Case Number EO-2016218-000116
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name MELROSE YOUTH TRAP CLUB
Organization’s Mailing Address 1503 SR 224
City MELROSE
State NM
ZIP 88124-9644
Accounting period End 12
Primary contact name SHAWN PERKINS
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

SHAWN PERKINS
PRESIDENT
1503 SR 224
MELROSE NM 88124-9644

Officer/Director/Trustee Two

JOE WHITEHURST
VICE PRESIDENT
1532 SOUTH ROOSEVELT ROAD 3
PORTALES NM 88130

Officer/Director/Trustee Three

LORI PERKINS
SEC/TREASURE
1503 SR 224
MELROSE NM 88124-9644

Organization’s website
Organization’s email
Organization Incorporated No
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 7/1/2016
Organization Incorporation State NM
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code N70 - Amateur Sports Competitions
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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