FORM 1023-EZ for LAKE TAHOE TRACK CLUB

Field Data
EIN 83-2867367
Case Number EO-2019053-000166
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name LAKE TAHOE TRACK CLUB
Organization’s Mailing Address 907 TAHOE BLVD STE 6
City INCLINE VILLAGE
State NV
ZIP 89451-9416
Accounting period End 12
Primary contact name TIM CLEARY
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

BRAD BERGSTROM
DIRECTOR
838 JENNIFER
INCLINE VILLAGE NV 89451-9416

Officer/Director/Trustee Two

JON COOPER
SECRETARY
920 RUMAR WAY
CARNELIAN BAY CA 96140

Officer/Director/Trustee Three

AARON MOORE
TREASURER
217 SOUTH MARTIN DR
ZEPHYE COVE NV 89448

Officer/Director/Trustee Four

KRIS NUGENT
PRESIDENT
PO BOX 3610
INCLINE VILLAGE NV 89450-3610

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 12/31/18
Organization Incorporation State NV
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 KRIS NUGENT
Signature Title PRESIDENT
Signature Date 2/20/19

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