FORM 1023-EZ for DBK ATHLETICS

Field Data
EIN 82-4671626
Case Number EO-2018071-000210
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name DBK ATHLETICS
Organization’s Mailing Address 7204 STAR BARN LANE
City CRESTWOOD
State KY
ZIP 40014-6538
Accounting period End 12
Primary contact name DEREK COLLINS
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

DEREK COLLINS
DIRECTOR
7204 STAR BARN LANE
CRESTWOOD KY 40014

Officer/Director/Trustee Two

BURT GREY
PRESIDENT
1207 WITAWANGA AVE
LOUISVILLE KY 40222

Officer/Director/Trustee Three

KYLE SARGENT
OFFICER
1405 CADENCE COURT
LOUISVILLE KY 40222

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 2/26/18
Organization Incorporation State KY
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code N99 - Recreation, Sports, Leisure, Athletics 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 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 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 DEREK COLLINS
Signature Title DIRECTOR
Signature Date 3/8/18

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