FORM 1023-EZ for OLYMPUS TRACK CLUB INC

Field Data
EIN 83-3915286
Case Number EO-2019077-000799
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name OLYMPUS TRACK CLUB INC
Organization’s Mailing Address 7311 PIONEERS BLVD APT 418
City LINCOLN
State NE
ZIP 68506-7515
Accounting period End 2
Primary contact name RAYMONN ADAMS
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

RAYMONN ADAMS
PRESIDENT, TREASURER, DIRECTOR
7311 PIONEERS BLVD APT 418
LINCOLN NE 68506-7515

Officer/Director/Trustee Two

HEATHER BLANCHARD
VICE PRESIDENT, SECRETARY, DIRECTOR
2806 BRUMMOND DR
LINCOLN NE 68516-5814

Officer/Director/Trustee Three

KEMARI SHENALL
DIRECTOR
601 SOUTH 44TH ST
LINCOLN NE 68510-3746

Officer/Director/Trustee Four

DARWIN ARCHIE
DIRECTOR
1102 HUFF ST
LINCOLN NE 68503-1848

Organization’s website OLYMPUSTRACKCLUB.COM
Organization’s email OLYMPUSTRACKCLUB@GMAIL.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 2/23/19
Organization Incorporation State NE
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 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 RAYMONN ADAMS
Signature Title PRESIDENT, TREASURER, DIRECTOR
Signature Date 3/16/19

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