FORM 1023-EZ for FAYETTEVILLE WHEELMEN CYCLING CLUB

Field Data
EIN 81-0798066
Case Number EO-2018089-000391
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name FAYETTEVILLE WHEELMEN CYCLING CLUB
Organization’s Mailing Address 5062 DOVER ST
City SPRINGDALE
State AR
ZIP 72764
Accounting period End 12
Primary contact name JEFF WILLIAMS
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

JEFF WILLIAMS
REGISTERED AGENT
5062 DOVER
SPRINGDALE AR 72764

Officer/Director/Trustee Two

BRUCE DUNN
PRESIDENT
1629 S RIVER MEADOWS
FAYETTEVILLE AR 72701

Officer/Director/Trustee Three

DEBRA DUNN
SECRETARY
1629 S RIVER MEADOWS
FAYETTEVILLE AR 72701

Officer/Director/Trustee Four

PAUL KOMAREK
TREASURER
3016 E VAN BUREN
EUREKA SPRINGS AR 72632

Officer/Director/Trustee Five

TIM RAY
VICE PRESIDENT
5660 FOUNTAIN ST
FAYETTEVILLE AR 72704

Organization’s website WWW.FAYETTEVILLEWHEELMEN.COM
Organization’s email WILLIE8484@YAHOO.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 12/3/15
Organization Incorporation State AR
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code N99 - Recreation, Sports, Leisure, Athletics N.E.C.
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 JEFF WILLIAMS
Signature Title REGISTERED AGENT
Signature Date 3/28/18

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