FORM 1023-EZ for BOLT MULTISPORT INC

Field Data
EIN 82-2047028
Case Number EO-2018128-000137
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name BOLT MULTISPORT INC
Organization’s Mailing Address 9005 S BRYLERLY CT
City HEREFORD
State AZ
ZIP 85615-8419
Accounting period End 12
Primary contact name BRANDON NICHOLS
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

BRANDON NICHOLS
PRESIDENT
9005 S BRYLERLY CT
HEREFORD AZ 85615-8419

Officer/Director/Trustee Two

JULIE SCHENCK
SECRETARY
1525 N SAN FRANCISCO CIRCLE
SIERA VISTA AZ 85635

Officer/Director/Trustee Three

SARA JANE BOYLE
VICE PRESIDENT
2081 VALLEY SAGE ST
SIERRA VISTA AZ 85635

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 1/5/17
Organization Incorporation State AZ
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code N99 - Recreation, Sports, Leisure, Athletics N.E.C.
Organization’s purpose Charitable: Yes
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 Yes
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 BRANDON NICHOLS
Signature Title PRESIDENT
Signature Date 4/30/18

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