FORM 1023-EZ for LAS VEGAS BLACK WOLVES SPORTS CLUB

Field Data
EIN 85-1570483
Case Number EO-2020177-000788
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name LAS VEGAS BLACK WOLVES SPORTS CLUB
Organization’s Mailing Address 4024 LITTLE BAY AVE
City NORTH LAS VEGAS
State NV
ZIP 89081
Accounting period End 12
Primary contact name JAMES MOONEY
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

JAMES MOONEY
PRESIDENT
4024 LITTLE BAY AVE
NORTH LAS VEGAS NV 89081

Officer/Director/Trustee Two

JOHNTAY MOONEY
TREASURER/CHAIR PERSON/VOTING MEMBE
4024 LITTLE BAY AVE
LAS VEGAS NV 89081

Officer/Director/Trustee Three

MARIO PACHECO
VICE PRESIDENT/CHAIR PERSON/VOTING
4625 TENNESSEE WALKER AVE
LAS VEGAS NV 89031

Officer/Director/Trustee Four

SAMANTHA LAFATA
TRUSTEE/CHAIR PERSON/VOTING MEMBER
7836 PINNOCHIO AVE
LAS VEGAS NV 89131

Officer/Director/Trustee Five

KIM PACHECO
OFFICER/VOTING MEMBER/TRUSTEE
4625 TENNESSEE WALKER AVE
LAS VEGAS NV 89031

Organization’s website
Organization’s email MOONEY849@GMAIL.COM
Organization Incorporated No
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 6/23/2020
Organization Incorporation State NV
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: 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 Yes
One Third Support Gifts No
Benefit of College No
Private Foundation 508(e) No
Seeking Retroactive Reinstatement No
Seeking Section 7 Reinstatement No
Correctness Declaration Yes
Signature Name JAMES MOONEY
Signature Title PRESIDENT
Signature Date 6/23/2020

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