FORM 1023-EZ for LC MTB TEAM
| Field | Data |
|---|---|
| EIN | 84-2893555 |
| Case Number | EO-2019298-000231 |
| Form 1023-EZ version | 12018 |
| Eligibility Worksheet | 1 |
| Organization Name | LC MTB TEAM |
| Organization’s Mailing Address | 4825 DALERIDGE ROAD |
| City | LA CANADA FLINTRIDGE |
| State | CA |
| ZIP | 91011 |
| Accounting period End | 6 |
| Primary contact name | DEREK GREY |
| Primary contact phone | [Hidden] |
| Primary contact phone extension | [Hidden] |
| Primary contact fax | [Hidden] |
| User fee submitted | $275.00 |
Officer/Director/Trustee One
DEREK GREY
EXECUTIVE DIRECTOR
4825 DALERIDGE ROAD
LA CANADA FLINTRIDGE CA 91011
Officer/Director/Trustee Two
MIKKI WEIGHTMAN
SECRETARY
822 WILADONDA DRIVE
LA CANADA FLINTRIDGE CA 91011-2527
Officer/Director/Trustee Three
MAX DE BROUWER
TREASURER
4848 TOCALOMA LANE
LA CANADA FLINTRIDGE CA 91011
Officer/Director/Trustee Four
HANS KU
DIRECTOR
1051 VISTA DEL VALLE ROAD
LA CANADA FLINTRIDGE CA 91011
Officer/Director/Trustee Five
JEFF PARKS
DIRECTOR
5160 LA CANADA BLVD
LA CANADA FLINTRIDGE CA 91011
| Organization’s website | WWW.LCMTBTEAM.COM |
|---|---|
| Organization’s email | LCMTBTEAM@GMAIL.COM |
| Organization Incorporated | Yes |
| Organization trust | No |
| Necessary Organizing Documents | Yes |
| Organization Incorporation Date | 9/16/19 |
| Organization Incorporation State | CA |
| 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: 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 | 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 | DEREK GREY |
| Signature Title | EXECUTIVE DIRECTOR |
| Signature Date | 10/23/19 |
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