FORM 1023-EZ for CYCLING WITHOUT AGE UTAH

Field Data
EIN 82-4601968
Case Number EO-2018064-000267
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name CYCLING WITHOUT AGE UTAH
Organization’s Mailing Address RR3 BOX B15 / 8545 N ALPINE LOOP RD
City SUNDANCE
State UT
ZIP 84604
Accounting period End 12
Primary contact name DAVID L NELSON
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

DAVID NELSON
PRESIDENT
RR 3 BOX B-15
SUNDANCE UT 84604-8902

Officer/Director/Trustee Two

KAYLEEN NELSON
VICE PRESIDENT
RR 3 BOX B-15
SUNDANCE UT 84604-8902

Officer/Director/Trustee Three

MITCHEL NELSON
SECRETARY
RR 3 BOX B-15
SUNDANCE UT 84604-8902

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 3/1/18
Organization Incorporation State UT
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code P81 - Senior Centers, Services
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 Yes
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 No
Benefit of College No
Private Foundation 508(e) Yes
Seeking Retroactive Reinstatement No
Seeking Section 7 Reinstatement No
Correctness Declaration Yes
Signature Name DAVID NELSON
Signature Title PRESIDENT
Signature Date 3/1/18

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