FORM 1023-EZ for SUMMIT COUNTY PICKLEBALL CLUB

Field Data
EIN 82-4659286
Case Number EO-2018071-000143
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name SUMMIT COUNTY PICKLEBALL CLUB
Organization’s Mailing Address 40 HARES EAR LANE
City SILVERTHORNE
State CO
ZIP 80498-8987
Accounting period End 12
Primary contact name LINDA BUSH
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

LINDA BUSH
TREASURER
40 HARES EAR LANE
SILVERTHORNE CO 80498-8987

Officer/Director/Trustee Two

LORI MILLER
PRESIDENT
PO BOX 2053
SILVERTHORNE CO 80498-2053

Officer/Director/Trustee Three

JUILE WORTHINGTON
SECRETARY
PO BOX 1612
SILVERTHORNE CO 80498-1612

Officer/Director/Trustee Four

JEROME VEAZEY
VICE PRESIDENT
PO BOX 23163
SILVERTHORNE CO 80498-3163

Organization’s website N/A
Organization’s email SUMMMITPICKLEBALL@GMAIL.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 2/22/18
Organization Incorporation State CO
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: Yes
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 LINDA BUSH
Signature Title TREASURER
Signature Date 3/8/18

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