FORM 1023-EZ for YUCCA VALLEY BMX INC

Field Data
EIN 45-5170917
Case Number EO-2019070-000352
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name YUCCA VALLEY BMX INC
Organization’s Mailing Address 6989 SAGE AVE
City YUCCA VALLEY
State CA
ZIP 92284-2731
Accounting period End 5
Primary contact name TRAVIS HILL
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

KERI DILLMAN
CHIEF EXECUTIVE OFFICER
10640 PALOMAR AVENUE
LUCERNE VALLEY CA 92256

Officer/Director/Trustee Two

TRAVIS HILL
CHIEF FINANCIAL OFFICER
57925 CARLYLE DRIVE
YUCCA VALLEY CA 92284

Officer/Director/Trustee Three

ANDREW ALDAY
SECRETARY
57164 JUAREZ DRIVE
YUCCA VALLEY CA 92284

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 5/12/12
Organization Incorporation State CA
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: No
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 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 Yes
Seeking Section 7 Reinstatement No
Correctness Declaration Yes
Signature Name TRAVIS HILL
Signature Title CHIEF FINANCIAL OFFICER
Signature Date 3/8/19

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