FORM 1023-EZ for DIRTY BIRD ATHLETICS

Field Data
EIN 84-2520005
Case Number EO-2019210-000424
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name DIRTY BIRD ATHLETICS
Organization’s Mailing Address 471 SOUTH AMMONS BRANCH ROAD
City MARSHALL
State NC
ZIP 28753-3404
Accounting period End 12
Primary contact name TRACY ALLISON
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

TRACY SHANE ALLISON
DIRECTOR
471 SOUTH AMMONS BRANCH ROAD
MARSHALL NC 28753-3404

Organization’s website
Organization’s email ALPAR20@GMAIL.COM
Organization Incorporated No
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 7/26/19
Organization Incorporation State NC
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code N62 - Basketball
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 No
Benefit of College No
Private Foundation 508(e) Yes
Seeking Retroactive Reinstatement No
Seeking Section 7 Reinstatement No
Correctness Declaration Yes
Signature Name TRACY SHANE ALLISON
Signature Title DIRECTOR
Signature Date 7/26/19

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