FORM 1023-EZ for INTREPID OUTDOOR COMPANY

Field Data
EIN 84-4922532
Case Number EO-2020232-000273
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name INTREPID OUTDOOR COMPANY
Organization’s Mailing Address 1227 HARKEY CREEK DR
City MONROE
State NC
ZIP 28110
Accounting period End 12
Primary contact name JERRY HARRIS
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

JENNIFER PATTERSON
PRESIDENT
7825 VININGS OAK LN APT 931
MATTHEWS NC 28105

Officer/Director/Trustee Two

JONATHAN LEACH
TREASURER
2442 SUMMER MEADOW CT
CHARLOTTE NC 28216

Officer/Director/Trustee Three

KEN HELFING
SECRETARY
10955 WINDS CROSSING DR STE 100
CHARLOTTE NC 28273

Officer/Director/Trustee Four

BENJAMIN BROCKMAN
MEMBER
923 TENNYSON DR
CHARLOTTE NC 28208

Officer/Director/Trustee Five

GEORGE KARAVAS
MEMBER
2421 ANNA GARRISON RD
CHARLOTTE NC 28206

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 1/17/2020
Organization Incorporation State NC
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code E86 - Patient Services - Entertainment, Recreation
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 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 JENNIFER PATTERSON
Signature Title PRESIDENT
Signature Date 8/17/2020

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