FORM 1023-EZ for ADAPT CYCLING INC

Field Data
EIN 83-4177179
Case Number EO-2019112-000470
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name ADAPT CYCLING INC
Organization’s Mailing Address 4039
City SHOREWOOD
State WI
ZIP 53211
Accounting period End 12
Primary contact name JEFF ANDREWS
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

CHAD HARTLEY
DIRECTOR
655 VERNON PL
ELM GROVE WI 53122

Officer/Director/Trustee Two

MIKE LUCAS
DIRECTOR
1039 9TH AVE
GRAFTON WI 53024

Officer/Director/Trustee Three

JEFFREY ANDREWS
DIRECTOR
4039 N
SHOREWOOD WI 53211

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 1/29/19
Organization Incorporation State WI
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 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 Yes
Benefit of College No
Private Foundation 508(e) No
Seeking Retroactive Reinstatement No
Seeking Section 7 Reinstatement No
Correctness Declaration Yes
Signature Name JEFFREY ANDREWS
Signature Title DIRECTOR
Signature Date 4/18/19

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