FORM 1023-EZ for INJURED CYCLIST FUND

Field Data
EIN 47-5499669
Case Number EO-2016235-000290
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name INJURED CYCLIST FUND
Organization’s Mailing Address 1633 RED SAGE
City IRVINE
State CA
ZIP 92618
Accounting period End 12
Primary contact name LUDMILA ROMERO
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

JOHN DOUGLAS ROMERO JR
CEO
1633 RED SAGE
IRVINE CA 92618

Officer/Director/Trustee Two

NICHOLAS DANNY ROMERO
CFO
21216 GERUNDIAL ST
WALNUT CA 91789

Officer/Director/Trustee Three

RAMSEY ISRAWI
DIRECTOR
15505 BRISTO RIDGE TERRACE
SAN DIEGO CA 92127

Organization’s website WWW.INJUREDCYCLISTFUND.ORG
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 10/1/2015
Organization Incorporation State CA
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code W12 - 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 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
Signature Title
Signature Date

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