FORM 1023-EZ for HUNTSMEN ARCHERY

Field Data
EIN 47-3496461
Case Number EO-2015110-000229
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name HUNTSMEN ARCHERY
Organization’s Mailing Address 5010 STATE ROUTE 772
City CHILLICOTHE
State OH
ZIP 45601
Accounting period End 12
Primary contact name BRIGHAM KELLOUGH
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

HEIDI GRAY
PRESIDENT
1151 CHESTER HILL ROAD
CHILLICOTHE OH 45601

Officer/Director/Trustee Two

LAURA PUCKETT
TREASURER
4678 BLACK RUN ROAD
CHILLICOTHE OH 45601

Officer/Director/Trustee Three

BRIGHAM KELLOUGH
CHAIRPERSON
5010 STATE ROUTE 772
CHILLICOTHE OH 45601

Officer/Director/Trustee Four

ANGIE GAMON
RECORDER
354 EMERALD LANE
CHILLICOTHE OH 45601

Officer/Director/Trustee Five

DANIELLE HINSHAW
VOTING MEMBER
6562 POTTS HILL ROAD
BAINBRIDGE OH 45601

Organization’s website
Organization’s email HUNTSMENARCHER1@GMAIL.COM
Organization Incorporated No
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 4/6/2015
Organization Incorporation State OH
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code N12 - Fund Raising and/or Fund Distribution
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 Yes
Conducting Activities Outside of United States No
Financial transactions with officers No
Unrelated Gross Income $1,000 or More No
Gaming Activity Yes
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
Signature Title
Signature Date

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