FORM 1023-EZ for QUAD CITIES HEAT TRACK CLUB INC

Field Data
EIN 84-3321115
Case Number EO-2019364-000374
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name QUAD CITIES HEAT TRACK CLUB INC
Organization’s Mailing Address 6302 GABRIELLE WAY
City DAVENPORT
State IA
ZIP 52807
Accounting period End 12
Primary contact name EBONIE BAILEY
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

LADRINA WILSON
DIRECTOR
5008 LEPRECHAUN DR
DAVENPORT IA 52807

Officer/Director/Trustee Two

THOMAS BAILEY
TREASURER
6302 GABRIELLE WAY
DAVENPORT IA 52807

Officer/Director/Trustee Three

TANYA SMITH
SECRETARY
4417 N GAYMAN AVE
DAVENPORT IA 52806

Officer/Director/Trustee Four

EBONIE BAILEY
EXECUTIVE DIRECTOR
6302 GABRIELLE WAY
DAVENPORT IA 52807

Organization’s website HTTPS://WWW.QCHEATTRACKCLUB.COM
Organization’s email QCHEATTRACKCLUB@GMAIL.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 10/9/2019
Organization Incorporation State IA
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: Yes
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 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 EBONIE BAILEY
Signature Title EXECUTIVE DIRECTOR
Signature Date 12/28/2019

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