FORM 1023-EZ for LEWIS-CLARK ATV CLUB

Field Data
EIN 82-0508899
Case Number EO-2015084-000362
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name LEWIS-CLARK ATV CLUB
Organization’s Mailing Address PO BOX 2012
City LEWISTION
State ID
ZIP 83501
Accounting period End 12
Primary contact name JIM MCIVER
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

JIM MCIVER
PRESIDENT
3527 20TH ST
LEWISTON ID 83501

Officer/Director/Trustee Two

BILL JABLONOWSKI
VICE PRESIDENT
JABLONOWSKI
LEWISTON ID 83501

Officer/Director/Trustee Three

JUDY ARNZEN
TREASURE
1724 GRELLE AVE
LEWISTON ID 83501

Officer/Director/Trustee Four

JANELL BENJAMIN
SECRETARY
221 N ROOSEVELT
MOSCOW ID 83501

Officer/Director/Trustee Five

BERNIE HERMAN
TRUSTEE
315 PANORAMA DR
MOSCOW ID 83501

Organization’s website WWW.LEWISCLARKATV.ORG
Organization’s email LEWISCLARKATVCLUB@GMAIL.COM
Organization Incorporated No
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 2/25/2000
Organization Incorporation State ID
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code N01 - Alliance/Advocacy Organizations
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 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 No
Benefit of College No
Private Foundation 508(e) Yes
Seeking Retroactive Reinstatement No
Seeking Section 7 Reinstatement No
Correctness Declaration Yes
Signature Name
Signature Title
Signature Date

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