FORM 1023-EZ for SOUTHEAST VINTAGE MOTOCROSS CLUB

Field Data
EIN 81-4903208
Case Number EO-2019261-000212
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name SOUTHEAST VINTAGE MOTOCROSS CLUB
Organization’s Mailing Address 209 BRIDLE RIDGE ROAD
City GADSDEN
State AL
ZIP 35901
Accounting period End 12
Primary contact name J SCOTT HINDSMAN CPA
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

ALAN UTZ
EXEC. DIRECTOR
1111 BRIAR LAKES COURT
WATKINSVILLE GA 30677

Officer/Director/Trustee Two

DAVID MILLS
MEDIA DIRECTOR
PO BOX 474
EXPERIMENT GA 60212

Officer/Director/Trustee Three

KEN DEROSE-BROECKERT
HOSPITALITY DIRECTOR
107 WICKERHILL
PEACHTREE CITY GA 30269

Officer/Director/Trustee Four

MARK THOMPSON
TREASURER
209 BRIDLE RIDGE ROAD
GADSDEN AL 35901

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 3/13/2018
Organization Incorporation State AL
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code N01 - Alliance/Advocacy Organizations
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 MARK THOMPSON
Signature Title TREASURER
Signature Date 9/16/2019

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