FORM 1023-EZ for NATIONAL ROAD BICYCLE CLUB INC

Field Data
EIN 83-2096430
Case Number EO-2018283-000267
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name NATIONAL ROAD BICYCLE CLUB INC
Organization’s Mailing Address 500 OHIO STREET
City TERRE HAUTE
State IN
ZIP 47807
Accounting period End 12
Primary contact name BRAD BOUGH
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

BRAD BOUGH
RESPONSIBLE PARTY
500 OHIO STREET
TERRE HAUTE IN 47807

Officer/Director/Trustee Two

JESSICA MARKLE
VICE PRESIDENT
4301 S HILTON ST
TERRE HAUTE IN 47802

Officer/Director/Trustee Three

MATTHEW KELLEY
PRESIDENT
10830 SPRING CREEK RD
TERRE HAUTE IN 47805

Officer/Director/Trustee Four

JANE NEIER
SECRETARY
5762 NORTH COUNTY RD 300 WEST
BRAZIL IN 47834

Officer/Director/Trustee Five

KURT BRYAN
TREASURER
90 SOUTH STATE ROAD 59
CENTERPOINT IN 47840

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 6/5/18
Organization Incorporation State IN
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: Yes
Religious: No
Educational: No
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 MATTHEW KELLEY
Signature Title PRESIDENT
Signature Date 10/8/18

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