FORM 1023-EZ for COPPER COUNTRY SENIOR OLYMPICS

Field Data
EIN 81-4426847
Case Number EO-2016356-000210
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name COPPER COUNTRY SENIOR OLYMPICS
Organization’s Mailing Address P O BOX 2376
City SILVER CITY
State NM
ZIP 88062-2376
Accounting period End 12
Primary contact name FRED BACA
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

FRED BACA
PRESIDENT
P O BOX 2376
SILVER CITY NM 88062-2376

Officer/Director/Trustee Two

FIDEL QUINTANA
TREASUER
3705 CHRISTIAN FLURY DRIVE
SILVER CITY NM 88061

Officer/Director/Trustee Three

LUCINDA MADDOX
SECRETARY
1712 W MONTANA ST
SILVER CITY NM 88061

Officer/Director/Trustee Four

ALBERT RODRIGUEZ
VICE PRESIDENT
P O BOX 659
HURLEY NM 88023

Officer/Director/Trustee Five

RALPH SEPULVEDA
BOARD OF DIRECTORS
P O BOX 75
MIMBRES NM 88048

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 10/28/2016
Organization Incorporation State NM
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: Yes
Religious: No
Educational: Yes
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 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
Signature Title
Signature Date

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