FORM 1023-EZ for BORCA BLOOMINGTON OFF-ROAD CYCLINGALLIANCE

Field Data
EIN 83-4654281
Case Number EO-2019317-000108
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name BORCA BLOOMINGTON OFF-ROAD CYCLINGALLIANCE
Organization’s Mailing Address 5533 ELIASON DR
City BLOOMINGTON
State MN
ZIP 55437
Accounting period End 12
Primary contact name STEPHANIE JOHNSON
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

STEPHANIE JOHNSON
PRESIDENT
5533 ELIASON DR
BLOOMINGTON MN 55437

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 5/7/19
Organization Incorporation State MN
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code N01 - Alliance/Advocacy Organizations
Organization’s purpose Charitable: Yes
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 No
Benefit of College No
Private Foundation 508(e) Yes
Seeking Retroactive Reinstatement Yes
Seeking Section 7 Reinstatement No
Correctness Declaration Yes
Signature Name STEPHANIE JOHNSON
Signature Title PRESIDENT
Signature Date 11/11/19
EIN 83-4654281
Case Number EO-2019317-000108
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name BORCA BLOOMINGTON OFF-ROAD CYCLING ALLIANCE
Organization’s Mailing Address 5533 ELIASON DR
City BLOOMINGTON
State MN
ZIP 55437
Accounting period End 12
Primary contact name STEPHANIE JOHNSON
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

STEPHANIE JOHNSON
PRESIDENT
5533 ELIASON DR
BLOOMINGTON MN 55437

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 5/7/19
Organization Incorporation State MN
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code N01 - Alliance/Advocacy Organizations
Organization’s purpose Charitable: Yes
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 No
Benefit of College No
Private Foundation 508(e) Yes
Seeking Retroactive Reinstatement Yes
Seeking Section 7 Reinstatement No
Correctness Declaration Yes
Signature Name STEPHANIE JOHNSON
Signature Title PRESIDENT
Signature Date 11/11/19

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