FORM 1023-EZ for LAS VEGAS BLAST

Field Data
EIN 30-1202957
Case Number EO-2020015-000357
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name LAS VEGAS BLAST
Organization’s Mailing Address 3673 IAN THOMAS ST SUITE 203
City LAS VEGAS
State NV
ZIP 89129-1745
Accounting period End 5
Primary contact name DARON MATSUMURA
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

DARON MATSUMURA
PRESIDENT
3673 IAN THOMAS ST SUITE 203
LAS VEGAS NV 89129-1745

Officer/Director/Trustee Two

DARON MATSUMURA
SECRETARY
3673 IAN THOMAS ST SUITE 203
LAS VEGAS NV 89129-1745

Officer/Director/Trustee Three

DARON MATSUMURA
TREASURER
3673 IAN THOMAS ST SUITE 203
LAS VEGAS NV 89129-1745

Officer/Director/Trustee Four

DARON MATSUMURA
DIRECTOR
3673 IAN THOMAS ST SUITE 203
LAS VEGAS NV 89129-1745

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 6/14/2019
Organization Incorporation State NV
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 Yes
Seeking Section 7 Reinstatement No
Correctness Declaration Yes
Signature Name DARON MATSUMURA
Signature Title PRESIDENT
Signature Date 1/13/2020

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