FORM 1023-EZ for HIGH ROLLERS ADAPTIVE SPORTS FOUNDATION

Field Data
EIN 83-0752170
Case Number EO-2018174-000046
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name HIGH ROLLERS ADAPTIVE SPORTS FOUNDATION
Organization’s Mailing Address 2300 BAY HILL DRIVE
City LAS VEGAS
State NV
ZIP 89117-5728
Accounting period End 12
Primary contact name BRADLEY CHRISTOPHER BOE
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

BRADLEY CHRISTOPHER BOE
PRESIDENT
2300 BAY HILL DR
LAS VEGAS NV 89117-5728

Officer/Director/Trustee Two

BRADLEY CARL BOE
TREASURER
2300 BAY HILL DR
LAS VEGAS NV 89117-5728

Officer/Director/Trustee Three

MICHAEL MATTHIS
SECRETARY
1820 E SAHARA AVE SUITE 110
LAS VEGAS NV 89104-3736

Officer/Director/Trustee Four

IAN SALVATIERRA
DIRECTOR
4450 S HUALAPAI WAY UNIT 1076
LAS VEGAS NV 89147-7272

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 6/18/18
Organization Incorporation State NV
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: Yes
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 Yes
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 BRADLEY CHRISTOPHER BOE
Signature Title PRESIDENT
Signature Date 6/20/18

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