FORM 1023-EZ for BEASTMODE YOUTH SPORTS INC

Field Data
EIN 85-0726547
Case Number EO-2020108-000234
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name BEASTMODE YOUTH SPORTS INC
Organization’s Mailing Address 2881 WEATHERSTONE CIRCLE
City CONYERS
State GA
ZIP 30094
Accounting period End 12
Primary contact name JAHMAL RICHEY
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

JAHMAL RICHEY
CEO
2881 WEATHERSTONE CIRCLE
CONYERS GA 30094

Officer/Director/Trustee Two

MONICA RICHEY
CFO
2881 WEATHERSTONE CIRCLE
CONYERS GA 30094

Officer/Director/Trustee Three

RASHAD RICHEY
SECRETARY OF STATE
2881 WEATHERSTONE CIRCLE
CONYERS GA 30094

Officer/Director/Trustee Four

BERNARDO LITTLE
TRUSTEE
2881 WEATHERSTONE CIRCLE
CONYERS GA 30094

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 12/18/2019
Organization Incorporation State GA
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code P30 - Children's, Youth Services
Organization’s purpose Charitable: Yes
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 JAHMAL RICHEY
Signature Title CEO
Signature Date 4/15/2020

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