FORM 1023-EZ for ROGERS CYC

Field Data
EIN 85-2588739
Case Number EO-2021098-000189
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name ROGERS CYC
Organization’s Mailing Address 5 W PRAIRIE
City ROGERS
State TX
ZIP 76569
Accounting period End 12
Primary contact name JEREMY PELLEY
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

JEREMY PELLEY
DIRECTOR
14586 STRINGTOWN RD
ROGERS TX 76569

Officer/Director/Trustee Two

ROBERT COPELAND
TRUSTEE
1324 EMERALD GATE DR
TEMPLE TX 76502

Officer/Director/Trustee Three

JOE JARLICK
TRUSTEE
15949 HWY 190
ROGERS TX 76569

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 8/18/2020
Organization Incorporation State TX
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code O20 - Youth Centers, Clubs, Multipurpose
Organization’s purpose Charitable: Yes
Religious: No
Educational: Yes
Scientific: No
Literary: No
Public Safety: No
Amateur Sports: No
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 JEREMY PELLEY
Signature Title DIRECTOR
Signature Date 3/15/2021

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