FORM 1023-EZ for FALL CREEK COMPOSITE MOUNTAIN BIKING TEAM

Field Data
EIN 82-2425614
Case Number EO-2018113-000592
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name FALL CREEK COMPOSITE MOUNTAIN BIKING TEAM
Organization’s Mailing Address 7051 ZIMMERMAN ROAD
City FALL CREEK
State WI
ZIP 54742-9748
Accounting period End 12
Primary contact name TAMMY SOMERVILLE
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

TAMMY SOMERVILLE
PRESIDENT
7051 ZIMMERMAN ROAD
FALL CREEK WI 54742-9748

Officer/Director/Trustee Two

HENRY BERRY
VICE PRESIDENT
1201 HEWETT STREET
NEILLSVILLE WI 54456-1345

Officer/Director/Trustee Three

ELIZABETH MOSHER
SECRETARY
351 HEATHER COURT
EAU CLAIRE WI 54701-7198

Officer/Director/Trustee Four

ANGELA STOKES
TREASURER
1424 MAIN STREET
EAU CLAIRE WI 54701-4131

Organization’s website
Organization’s email FCCMTH@GMAIL.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 4/19/18
Organization Incorporation State WI
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code N11 - Single Organization Support
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 TAMMY SOMERVILLE
Signature Title PRESIDENT
Signature Date 4/20/18

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