FORM 1023-EZ for EASTERN PANHANDLE MOUNTAIN BIKE ASSOCIATION

Field Data
EIN 83-2461224
Case Number EO-2019029-000232
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name EASTERN PANHANDLE MOUNTAIN BIKE ASSOCIATION
Organization’s Mailing Address 1585 GARDNERS LANE APT 3
City SHEPHERDSTOWN
State WV
ZIP 25443
Accounting period End 12
Primary contact name TERESA COLLINS
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

TERESA COLLINS
PRESIDENT
1585 GARDNERS LANE APT 3
SHEPHERDSTOWN WV 25443

Officer/Director/Trustee Two

SEAN GODSEY
VICE PRESIDENT
172 DREXEL COURT
MARTINSBURG WV 25404

Officer/Director/Trustee Three

KEVIN ROBERTS
BOARD MEMBER
297 HERMITAGE DR
MARTINSBURG WV 25405

Officer/Director/Trustee Four

LIBBY KRONTHAL
BOARD MEMBER
3096 HAMPSHIRE GRADE RD
HEDGESVILLE WV 25427

Officer/Director/Trustee Five

VALERIE DUDASH
BOARD MEMBER
4064 SOUTHBEND LANE
SHARPSBURG MD 21782

Organization’s website
Organization’s email EPMTBCLUB@GMAIL.COM
Organization Incorporated No
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 11/11/18
Organization Incorporation State WV
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 No
Benefit of College No
Private Foundation 508(e) Yes
Seeking Retroactive Reinstatement No
Seeking Section 7 Reinstatement No
Correctness Declaration Yes
Signature Name TERESA COLLINS
Signature Title PRESIDENT
Signature Date 12/17/18

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