FORM 1023-EZ for ACE ADVENTURE CLUB

Field Data
EIN 84-3069108
Case Number EO-2019326-000236
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name ACE ADVENTURE CLUB
Organization’s Mailing Address 1190 KENMORE ROAD
City HILLSVILLE
State VA
ZIP 24343
Accounting period End 12
Primary contact name TAMMY UTT
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

TAMMY UTT
DIRECTOR/PRESIDENT
1190 KENMORE ROAD
HILLSVILLE VA 24343

Officer/Director/Trustee Two

BRENDA LIDDLE
DIRECTOR
293 DREW RIDGE ROAD
WOODLAWN VA 24381

Officer/Director/Trustee Three

HOPE GAYNOR
DIRECTOR
2321 BREEZY RIDGE ROAD
WOODLAWN VA 24381

Officer/Director/Trustee Four

DENISE LYONS
SECRETARY
PO BOX 842
HILLSVILLE VA 24343

Officer/Director/Trustee Five

DENISE DIXON
TREASURER
4469 DANVILLE PIKE
HILLSVILLE VA 24343

Organization’s website
Organization’s email ACEADVENTURECLUB@YAHOO.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 9/6/19
Organization Incorporation State VA
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code O99 - Youth Development N.E.C.
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 Yes
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 Yes
One Third Support Gifts No
Benefit of College No
Private Foundation 508(e) No
Seeking Retroactive Reinstatement No
Seeking Section 7 Reinstatement No
Correctness Declaration Yes
Signature Name TAMMY UTT
Signature Title DIRECTOR/PRESIDENT
Signature Date 11/20/19

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