FORM 1023-EZ for CAMPUS CYCLING COLLECTIVE INC

Field Data
EIN 81-2973244
Case Number EO-2016208-000319
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name CAMPUS CYCLING COLLECTIVE INC
Organization’s Mailing Address 744 ELMWOOD AVE
City BUFFALO
State NY
ZIP 14222
Accounting period End 12
Primary contact name ALEX DAVIES
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

ALEX DAVIES
DIRECTOR / PRESIDENT
365 POTOMAC ST
BUFFALO NY 14213

Officer/Director/Trustee Two

ETHAN JOHNSON
DIRECTOR / TREASURER
810 ASHLAND AVE
BUFFALO NY 14222

Officer/Director/Trustee Three

MARK GRAHAM
DIRECTOR / SECRETARY
892 ELMWOOD AVE
BUFFALO NY 14222

Officer/Director/Trustee Four

CYNTHIA COX
DIRECTOR
170 ANDERSON PL
BUFFALO NY 14222

Officer/Director/Trustee Five

MICHAEL DELANO
DIRECTOR
626 S PINE
RICHMOND VA 23220

Organization’s website N/A
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 6/15/2016
Organization Incorporation State NY
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code N01 - Alliance/Advocacy Organizations
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 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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