FORM 1023-EZ for ADOLESCENT SPORTS METRICS INC
| Field | Data |
|---|---|
| EIN | 82-2484908 |
| Case Number | EO-2020260-000357 |
| Form 1023-EZ version | 12018 |
| Eligibility Worksheet | 1 |
| Organization Name | ADOLESCENT SPORTS METRICS INC |
| Organization’s Mailing Address | 10 MEDICAL PARKWAY PLAZA 3 STE 201 |
| City | FARMERS BRANCH |
| State | TX |
| ZIP | 75234 |
| Accounting period End | 12 |
| Primary contact name | TINA BENNETT-BURTON DC |
| Primary contact phone | [Hidden] |
| Primary contact phone extension | [Hidden] |
| Primary contact fax | [Hidden] |
| User fee submitted | $275.00 |
Officer/Director/Trustee One
TINA BENNETT-BURTON DC
MANAGING DIRECTOR
10 MEDICAL PARKWAY PLAZA 3 STE 201
FARMERS BRANCH TX 75234-7840
Officer/Director/Trustee Two
ANN CARVER
DIRECTOR
10 MEDICAL PARKWAY PLAZA 3 STE 201
FARMERS BRANCH TX 75234-7840
Officer/Director/Trustee Three
KELLI FREE
DIRECTOR
10 MEDICAL PARKWAY PLAZA 3 STE 201
FARMERS BRANCH TX 75234-7840
| Organization’s website | |
|---|---|
| Organization’s email | |
| Organization Incorporated | Yes |
| Organization trust | No |
| Necessary Organizing Documents | Yes |
| Organization Incorporation Date | 8/12/2017 |
| Organization Incorporation State | TX |
| Contains Limitation | Yes |
| Does not expressly empower | Yes |
| Contains dissolution | Yes |
| National Taxonomy of Exempt Entities (NTEE) code | H98 - Pediatrics Research |
| Organization’s purpose | Charitable: Yes Religious: No Educational: Yes Scientific: Yes 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 | Yes |
| Seeking Section 7 Reinstatement | No |
| Correctness Declaration | Yes |
| Signature Name | TINA BENNETT-BURTON DC |
| Signature Title | MANAGING DIRECTOR |
| Signature Date | 9/14/2020 |
| EIN | 82-2484908 |
| Case Number | EO-2018039-000143 |
| Form 1023-EZ version | 12018 |
| Eligibility Worksheet | 1 |
| Organization Name | ADOLESCENT SPORTS METRICS INC |
| Organization’s Mailing Address | 10 MEDICAL PKWY PLAZA 3 SUITE 201 |
| City | FARMERS BRANCH |
| State | TX |
| ZIP | 75234 |
| Accounting period End | 12 |
| Primary contact name | LIZA FARROW-GILLESPIE |
| Primary contact phone | [Hidden] |
| Primary contact phone extension | [Hidden] |
| Primary contact fax | [Hidden] |
| User fee submitted | $275.00 |
Officer/Director/Trustee One
TINA BENNETT-BURTON
DIRECTOR
10 MEDICAL PKWY PLAZA 3 SUITE 201
FARMERS BRANCH TX 75234
Officer/Director/Trustee Two
ANN CARVER
DIRECTOR
10 MEDICAL PKWY PLAZA 3 SUITE 201
FARMERS BRANCH TX 75234
Officer/Director/Trustee Three
KELLI FREE
DIRECTOR
10 MEDICAL PKWY PLAZA 3 SUITE 201
FARMERS BRANCH TX 75234
| Organization’s website | |
|---|---|
| Organization’s email | |
| Organization Incorporated | Yes |
| Organization trust | No |
| Necessary Organizing Documents | Yes |
| Organization Incorporation Date | 8/12/17 |
| Organization Incorporation State | TX |
| Contains Limitation | Yes |
| Does not expressly empower | Yes |
| Contains dissolution | Yes |
| National Taxonomy of Exempt Entities (NTEE) code | H98 - Pediatrics Research |
| Organization’s purpose | Charitable: Yes Religious: No Educational: Yes Scientific: Yes 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 | TINA BENNETT-BURTON |
| Signature Title | DIRECTOR |
| Signature Date | 2/6/18 |
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