FORM 1023-EZ for I-R ARCHERY JOAD S3DA CLUB

Field Data
EIN 85-2829734
Case Number EO-2020258-000561
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name I-R ARCHERY JOAD S3DA CLUB
Organization’s Mailing Address 1682 FOUR MIKE ROAD
City RICHMOND
State KY
ZIP 40475
Accounting period End 12
Primary contact name DEAN RAY
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

DEAN RAY
PRESIDENT/DIRECTOR
3312 OTTER CREEK DRIVE
LEXINGTON KY 40515

Officer/Director/Trustee Two

JOHN CARPETNER
VICE PRESIDENT
509 WHITFIELD DRIVE
LEXINGTON KY 40515

Officer/Director/Trustee Three

DENISE WELCH
TREASURE
1185 ALDRIDGE WAY
LEXINGTON KY 40515

Officer/Director/Trustee Four

MIKE ZIMMERMAN
SECRETARY
2516 ISLAND POND ROAD
LEXINGTON KY 40509

Officer/Director/Trustee Five

LARRY CURRAN
PARENT REPRESENTATIVE
366 BOURBON ACRES RD
PARIS KY 40361

Organization’s website
Organization’s email INRANGEJOAD@GMAIL.COM
Organization Incorporated No
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 7/11/2020
Organization Incorporation State KY
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 No
Seeking Section 7 Reinstatement No
Correctness Declaration Yes
Signature Name DEAN RAY
Signature Title PRESIDENT/DIRECTOR
Signature Date 9/11/2020

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