FORM 1023-EZ for PORTSMOUTH TRACK CLUB

Field Data
EIN 83-0880405
Case Number EO-2019050-000218
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name PORTSMOUTH TRACK CLUB
Organization’s Mailing Address 324 FOREST AVE
City MIDDLETOWN
State RI
ZIP 2842
Accounting period End 1
Primary contact name SHAUN HORGAN
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

SHAUN HORGAN
INCORPORATOR
324 FOREST AVE
MIDDLETOWN RI 2842

Officer/Director/Trustee Two

JEFF ROSE
DIRECTOR
121 WHIPPLE AVE
BARRINGTON RI 2806

Officer/Director/Trustee Three

EVAN DENARD
DIRECTOR
315 APT 2 BROADWAY
NEWPORT RI 2840

Officer/Director/Trustee Four

KELSI CHAPPELL
DIRECTOR
80 EVANS WAY
PORTSMOUTH RI 2871

Organization’s website
Organization’s email
Organization Incorporated No
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 5/11/18
Organization Incorporation State RI
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code N70 - Amateur Sports Competitions
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 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 SHAUN HORGAN
Signature Title INCORPORATOR
Signature Date 2/14/19

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