FORM 1023-EZ for MAJOR TAYLOR CYCLING CLUB OF VIRGINIA

Field Data
EIN 83-3184692
Case Number EO-2019304-000170
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name MAJOR TAYLOR CYCLING CLUB OF VIRGINIA
Organization’s Mailing Address 7371 ATLAS WALK WAY STE 182
City GAINESVILLE
State VA
ZIP 20155-2992
Accounting period End 12
Primary contact name RANDALL BIVENS
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

EUGENE BROWN
PRESIDENT
5900 FINCASTLE DR
MANASSAS VA 20112-5447

Officer/Director/Trustee Two

RANDALL BIVENS
TREASURER
10033 MOXLEYS FORD LN
BRISTOW VA 20136-3004

Officer/Director/Trustee Three

AL MOORE
SECRETARY
5300 BUXTON CT
ALEXANDRIA VA 22315-4759

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 2/20/19
Organization Incorporation State VA
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code N12 - Fund Raising and/or Fund Distribution
Organization’s purpose Charitable: Yes
Religious: No
Educational: Yes
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 RANDALL BIVENS
Signature Title TREASURER
Signature Date 10/29/19

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