FORM 1023-EZ for ICE VETS ADAPTIVE SPORTS INC

Field Data
EIN 46-5426671
Case Number EO-2014237-000092
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name ICE VETS ADAPTIVE SPORTS INC
Organization’s Mailing Address PO BOX 343
City BARRE
State VT
ZIP 05461-4609
Accounting period End 12
Primary contact name LOUISA HOWARD
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

DAVID SANTAMORE
CHAIRPERSON; PRESIDENT
PO BOX 343
BARRE VT 05461-4609

Officer/Director/Trustee Two

LOUISA HOWARD
DIRECTOR; TREASURER
34 BEAN
PLAINFIELD NH 03781-5479

Officer/Director/Trustee Three

EDWARD TROST
DIRECTOR; SECRETARY
25 CHIPAWAY ROAD
EAST FREETOWN MA 02717-1516

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 8/4/2014
Organization Incorporation State VT
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code N68 - Winter Sports (Snow and Ice)
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 Yes
One Third Support Gifts No
Benefit of College No
Private Foundation 508(e) No
Seeking Retroactive Reinstatement No
Seeking Section 7 Reinstatement No
Correctness Declaration Yes
Signature Name
Signature Title
Signature Date

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