FORM 1023-EZ for BIKE MANSFIELD

Field Data
EIN 81-1983977
Case Number EO-2016356-000177
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name BIKE MANSFIELD
Organization’s Mailing Address 404 WOODLAND RD
City STORRS
State CT
ZIP 06268
Accounting period End 12
Primary contact name LON HULTGREN
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

AMBER PIERCE
PRESIDENT
56 JACOBS HILL ROAD
MANSFIELD CT 06250

Officer/Director/Trustee Two

DAVID PALMER
VICE-PRESIDENT
505 ALDER LANE
STORRS CT 06268

Officer/Director/Trustee Three

LON HULTGREN
SECRETARY/TREASURER
404 WOODLAND ROAD
STORRS CT 06268

Officer/Director/Trustee Four

TODD OKEEFE
DIRECTOR
31 PHILIP DRIVE
STORRS CT 06268

Officer/Director/Trustee Five

THOMAS WEINLAND
DIRECTOR
2 NUTMEG COURT
MANSFIELD CT 06250

Organization’s website WWW.BIKEMANSFIELD.COM
Organization’s email INFO@BIKEMANSFIELD.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 4/20/2016
Organization Incorporation State CT
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code B01 - Alliance/Advocacy Organizations
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 No
Seeking Section 7 Reinstatement No
Correctness Declaration Yes
Signature Name
Signature Title
Signature Date

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