FORM 1023-EZ for FUBAR CYCLING

Field Data
EIN 81-3935924
Case Number EO-2016274-000156
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name FUBAR CYCLING
Organization’s Mailing Address 4436 WORTH ST
City LOS ANGELES
State CA
ZIP 90063-2538
Accounting period End 12
Primary contact name KEVIN LEWIS
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

NICHOLAS DAVIS
DIRECTOR/PRESIDENT
4280 VIA ARBOLADA UNIT 322
LOS ANGELES CA 90042-5167

Officer/Director/Trustee Two

PAUL GAFFNER
DIRECTOR/TREASURER
2342 LAKE VIEW AVE
LOS ANGELES CA 90039-3638

Officer/Director/Trustee Three

PATRICIA WISMAN
SECRETARY
21208 BERENDO AVE
TORRANCE CA 90502-1801

Officer/Director/Trustee Four

KEVIN LEWIS
DIRECTOR
808 N SPRING ST APT 102
LOS ANGELES CA 90012-4406

Officer/Director/Trustee Five

MICHAEL EISMAN
DIRECTOR
111 W 7TH ST PH11
LOS ANGELES CA 90014-3931

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 9/13/2016
Organization Incorporation State CA
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code P99 - Human Services - Multipurpose and Other 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 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 Yes
One Third Support Gifts No
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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