FORM 1023-EZ for MIDWEST XTREME TRIATHLON CLUB
| Field | Data |
|---|---|
| EIN | 82-4544680 |
| Case Number | EO-2018107-000571 |
| Form 1023-EZ version | 12018 |
| Eligibility Worksheet | 1 |
| Organization Name | MIDWEST XTREME TRIATHLON CLUB |
| Organization’s Mailing Address | 210 S BLAIRSFERRY CROSING |
| City | HIAWATHA |
| State | IA |
| ZIP | 52233 |
| Accounting period End | 12 |
| Primary contact name | NANCY FOX |
| Primary contact phone | [Hidden] |
| Primary contact phone extension | [Hidden] |
| Primary contact fax | [Hidden] |
| User fee submitted | $275.00 |
Officer/Director/Trustee One
RANDY BACHMAN
PRESIDENT/SECRETARY
210 S BLAIRSFERRY CROSSING
HIAWATHA IA 52233
Officer/Director/Trustee Two
NANCY FOX
TREASURER
3050 ENGLISH GLEN CT 4
MARION IA 52302
Officer/Director/Trustee Three
KATHRYN CATER
CO-VICE PRESIDENT
3008 FOREST MEADOW LANE
HIAWATHA IA 52233
Officer/Director/Trustee Four
KATHY CHRISTENSEN
CO-VICE PRESIDENT
6439 WILLIAMS BOULEVARD
CEDAR RAPIDS IA 52402
Officer/Director/Trustee Five
BARRY BREFFLE
AT LARGE
7405 HAMPSHIRE DR NE
CEDAR RAPIDS IA 52402
| Organization’s website | |
|---|---|
| Organization’s email | MWXTRI@GMAIL.COM |
| Organization Incorporated | Yes |
| Organization trust | No |
| Necessary Organizing Documents | Yes |
| Organization Incorporation Date | 2/28/18 |
| Organization Incorporation State | IA |
| Contains Limitation | Yes |
| Does not expressly empower | Yes |
| Contains dissolution | Yes |
| National Taxonomy of Exempt Entities (NTEE) code | N99 - Recreation, Sports, Leisure, Athletics 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 | NANCY FOX |
| Signature Title | TREASURER |
| Signature Date | 3/27/18 |
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