FORM 1023-EZ for RVDGA

Field Data
EIN 47-5216984
Case Number EO-2015288-000275
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name RVDGA
Organization’s Mailing Address 102 BARBOREK LANE
City RUSSELLVILLE
State AR
ZIP 72802
Accounting period End 12
Primary contact name MARK LYKINS
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

MARK LYKINS
PRESIDENT
102 BARBOREK LANE
RUSSELLVILLE AR 72802

Officer/Director/Trustee Two

DOUG HOUSELY
VICE PRESIDENT
1730 W 17TH CIRCLE
RUSSELLVILLE AR 72801

Officer/Director/Trustee Three

STEVE BENNETT
SECRETARY
905 DEERFIELD CT
RUSSELLVILLE AR 72801

Officer/Director/Trustee Four

DAVID LOPEZ
TRUSTEE
215 EAST 16TH ST 2
RUSSELLVILLE AR 72801

Organization’s website
Organization’s email
Organization Incorporated No
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 10/2/2015
Organization Incorporation State AR
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code N60 - Amateur Sports Clubs, Leagues, N.E.C.
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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