FORM 1023-EZ for PALOUSE BICYCLE RACING INC

Field Data
EIN 46-0966026
Case Number EO-2016043-000060
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name PALOUSE BICYCLE RACING INC
Organization’s Mailing Address 634 N HAYES
City MOSCOW
State ID
ZIP 83843
Accounting period End 8
Primary contact name JERROLD LONG
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

MATTHEW MORRA
PRESIDENT
634 N HAYES
MOSCOW ID 83843

Officer/Director/Trustee Two

SHEILA HEYNS
SECRETARY
1213 SPRUCE CIRCLE
MOSCOW ID 83843

Officer/Director/Trustee Three

JERROLD LONG
TREASURER
2275 HENRY CT
MOSCOW ID 83843

Organization’s website PALOUSEBICYCLERACING.ORG
Organization’s email PALOUSEBICYCLERACING@GMAIL.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 8/30/2012
Organization Incorporation State ID
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: Yes
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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