FORM 1023-EZ for DC WEST TRAP CLUB INC

Field Data
EIN 81-1556553
Case Number EO-2016230-000263
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name DC WEST TRAP CLUB INC
Organization’s Mailing Address 26627 TAYLOR STREET
City VALLEY
State NE
ZIP 68064
Accounting period End 12
Primary contact name PHILIP MENTZER
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

PHILIP MENTZER
PRESIDENT
26627 TAYLOR STREET
VALLEY NE 68064

Officer/Director/Trustee Two

TRIPP FIALA
VICE PRESIDENT
12071 LEAVENWORTH ROAR
OMAHA NE 68154

Officer/Director/Trustee Three

KARINE MENTZER
SECRETARY
26627 TAYLOR STREET
VALLEY NE 68064

Officer/Director/Trustee Four

MONIQUE FIALA
TREASURER
12071 LEAVENWORTH ROAD
OMAHA NE 68154

Organization’s website N/A
Organization’s email PHILIP@COLORSERVE.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 7/22/2016
Organization Incorporation State NE
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code O50 - Youth Development Programs, Other
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 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 No
Seeking Section 7 Reinstatement No
Correctness Declaration Yes
Signature Name
Signature Title
Signature Date

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