FORM 1023-EZ for HRCP YOUTH SPORTS CLUB

Field Data
EIN 46-4012236
Case Number EO-2014318-000362
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name HRCP YOUTH SPORTS CLUB
Organization’s Mailing Address 6102 VACQUERO DR
City CASTLE PINES
State CO
ZIP 80108
Accounting period End 12
Primary contact name SCOTT BLIEK
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

SCOTT BLIEK
PRESIDENT, DIRECTOR
6102 VACQUERO DR
CASTLE PINES CO 80108

Officer/Director/Trustee Two

BRANDON DUMAN
VICE PRESIDENT, DIRECTOR
6060 S JAMAICA CIR
ENGLEWOOD CO 80111

Officer/Director/Trustee Three

ALEXIS TINNEY
SECRETARY, DIRECTOR
8346 GREEN ISLAND CIR
LOVE TREE CO 80124

Officer/Director/Trustee Four

KELLY DUMAN
TREASURER, DIRECTOR
11023 GLENGATE CIR
HIGHLANDS RANCH CO 80130

Organization’s website WWW.HRCPYOUTHSPORTS.ORG
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 10/31/2013
Organization Incorporation State CO
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code O99 - Youth Development N.E.C.
Organization’s purpose Charitable: No
Religious: No
Educational: Yes
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
Signature Title
Signature Date

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