FORM 1023-EZ for JORDAN MTB RACE TEAM

Field Data
EIN 82-3259896
Case Number EO-2019052-000216
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name JORDAN MTB RACE TEAM
Organization’s Mailing Address 510 EAST 9800 SOUTH
City SANDY
State UT
ZIP 84070
Accounting period End 12
Primary contact name SHELLEY F MANGUM
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

SHELLEY MANGUM
TREASURER/OFFICER/REGISTERED AGENT
510 EAST 9800 SOUTH
SANDY UT 84070-3546

Officer/Director/Trustee Two

BROOKS BRIGGS
DIRECTOR/HEAD COACH
668 W JEFFERSON COVE
SANDY UT 84070-6617

Officer/Director/Trustee Three

MICHELLE SEELY
DIRECTOR
10914 BAY MEADOWS CIRCLE
SANDY UT 84092-4652

Officer/Director/Trustee Four

MICHAEL SEELY
DIRECTOR/COACH
10914 BAY MEADOWS CIRCLE
SANDY UT 84092-4652

Organization’s website JORDANMTB.COM
Organization’s email JORDANHSMTB@GMAIL.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 1/23/19
Organization Incorporation State UT
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 SHELLEY MANGUM
Signature Title TREASURER/OFFICER/REGISTERED AGENT
Signature Date 2/18/19

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