FORM 1023-EZ for HAVASU RENEGADE RIDERS
| Field | Data |
|---|---|
| EIN | 84-2516766 |
| Case Number | EO-2020013-000115 |
| Form 1023-EZ version | 12018 |
| Eligibility Worksheet | 1 |
| Organization Name | HAVASU RENEGADE RIDERS |
| Organization’s Mailing Address | 2804 SARATOGA AVE |
| City | LAKE HAVASU CITY |
| State | AZ |
| ZIP | 86406 |
| Accounting period End | 12 |
| Primary contact name | STACY GREEN |
| Primary contact phone | [Hidden] |
| Primary contact phone extension | [Hidden] |
| Primary contact fax | [Hidden] |
| User fee submitted | $275.00 |
Officer/Director/Trustee One
JEFF JARVIS
PRESIDENT
1717 BOEING BAY
LAKE HAVASU CITY AZ 86404
Officer/Director/Trustee Two
BRENT HUMPHREY
VICE PRESIDENT
2520 DAYTONA AVE
LAKE HAVASU CITY AZ 86403
Officer/Director/Trustee Three
TINA VISSER
TREASURER
2360 COSNINA DR
LAKE HAVASU CITY AZ 86403
Officer/Director/Trustee Four
ASHLEY ORCUTT
SECRETARY
765 MOHICAN DR
LAKE HAVASU CITY AZ 86406
Officer/Director/Trustee Five
STACY GREEN
INCORPORATOR
2804 SARATOGA AVE
LAKE HAVASU CITY AZ 86406
| Organization’s website | |
|---|---|
| Organization’s email | |
| Organization Incorporated | Yes |
| Organization trust | No |
| Necessary Organizing Documents | Yes |
| Organization Incorporation Date | 7/24/2019 |
| Organization Incorporation State | AZ |
| Contains Limitation | Yes |
| Does not expressly empower | Yes |
| Contains dissolution | Yes |
| National Taxonomy of Exempt Entities (NTEE) code | T12 - Fund Raising and/or Fund Distribution |
| Organization’s purpose | Charitable: Yes Religious: No Educational: No 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 | JEFF JARVIS |
| Signature Title | PRESIDENT |
| Signature Date | 1/9/2020 |
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