FORM 1023-EZ for FAYETTEVILLE CYCLING CLUB

Field Data
EIN 27-5448077
Case Number EO-2016132-000093
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name FAYETTEVILLE CYCLING CLUB
Organization’s Mailing Address PO BOX 422
City FAYETTEVILLE
State TX
ZIP 78940
Accounting period End 12
Primary contact name PAM DOTY VICE PRESIDENT
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

CRITZ CULLEN
PRESIDENT
NA
FAYETTEVILLE TX 78940

Officer/Director/Trustee Two

PAM DOTY
VICE PRESIDENT
NA
FAYETTEVILLE TX 78940

Officer/Director/Trustee Three

NEAL DOTY
TREASURER
NA
FAYETTEVILLE TX 78940

Officer/Director/Trustee Four

TOM VINING
SECRETARY
NA
COLUMBUS TX 78934

Organization’s website
Organization’s email
Organization Incorporated No
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 5/11/2012
Organization Incorporation State TX
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code N50 - Recreational, Pleasure, or Social Club
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 No
One Third Support Gifts Yes
Benefit of College No
Private Foundation 508(e) No
Seeking Retroactive Reinstatement Yes
Seeking Section 7 Reinstatement No
Correctness Declaration Yes
Signature Name
Signature Title
Signature Date

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