FORM 1023-EZ for ROYAL ATHLETIC CLUB

Field Data
EIN 86-2126362
Case Number EO-2021093-000351
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name ROYAL ATHLETIC CLUB
Organization’s Mailing Address PO BOX 281861
City NASHVILLE
State TN
ZIP 37228
Accounting period End 12
Primary contact name ARICA RUCKER
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

DAMON RUCKER
CHIEF EXECUTIVE OFFICER (CEO)
PO BOX 281861
NASHVILLE TN 37228

Officer/Director/Trustee Two

ARICA RUCKER
CHIEF FINANCIAL OFFICER (CFO)
PO BOX 281861
NASHVILLE TN 37228

Officer/Director/Trustee Three

QUINTON PUCKETT
CHIEF OPERATING OFFICER (COO)
4008 AMES DR
NASHVILLE TN 37218

Officer/Director/Trustee Four

LISA BROOKS
DIRECTOR OF PHILANTHROPY
1700 HAZELWOOD RD
CLARKSVILLE TN 37042

Officer/Director/Trustee Five

EMANUEL HALEY
ADVOCACY DIRECTOR/ONLINE ACTIVIST
3320 CLIFTON AVE
NASHVILLE TN 37209

Organization’s website
Organization’s email ROYALSATHLETICCLUB@GMAIL.COM
Organization Incorporated No
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 2/1/2021
Organization Incorporation State TN
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code O20 - Youth Centers, Clubs, Multipurpose
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 Yes
Benefit of College No
Private Foundation 508(e) No
Seeking Retroactive Reinstatement No
Seeking Section 7 Reinstatement No
Correctness Declaration Yes
Signature Name DAMON RUCKER
Signature Title CHIEF EXECUTIVE OFFICER (CEO)
Signature Date 2/28/2021

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