FORM 1023-EZ for AZEEZ BOXING CLUB

Field Data
EIN 82-5213512
Case Number EO-2018116-000350
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name AZEEZ BOXING CLUB
Organization’s Mailing Address 1512 VAUGINE
City PINE BLUFF
State AR
ZIP 71601
Accounting period End 12
Primary contact name DOMINQUE AZEEZ
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

HOLLY HUMPHREY
SECERTARY
3501 MARJON
PINE BLUFF AR 71603

Officer/Director/Trustee Two

DOMINIQUE AZEEZ
CEO
1512 VAUGINE
PINE BLUFF AR 71601

Officer/Director/Trustee Three

PHILIP HUMPHREY
PRESIDENT
3501 MARJON
PINE BLUFF AR 71603

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 4/17/18
Organization Incorporation State AR
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code O51 - Youth Community Service Clubs
Organization’s purpose Charitable: No
Religious: No
Educational: Yes
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 HOLLY HUMPHREY
Signature Title SECERTARY
Signature Date 4/24/18

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