FORM 1023-EZ for JLT FIELDHOUSE INC

Field Data
EIN 47-2794294
Case Number EO-2015274-000278
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name JLT FIELDHOUSE INC
Organization’s Mailing Address 109 TALL PINE CIRCLE
City SALISBURY
State NC
ZIP 28147
Accounting period End 12
Primary contact name ANTWAUN THOMPSON
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

ANTWAUN THOMPSON
PRESIDENT/DIRECTOR
109 TALL PINE CIRCLE
SALISBURY NC 28147

Officer/Director/Trustee Two

MATTHEW WOLFGANG
VICE PRESIDENT/DIRECTOR
11708 IRONTON ROAD APT 2024
SHOALS IN 47581

Officer/Director/Trustee Three

TINA PHILBRICK
SECRETARY/TREASURER/DIRECTOR
4270 MOUNT HOPE CHURCH ROAD
SALISBURY NC 28146

Organization’s website WWW.JLTFIELDHOUSE.COM
Organization’s email ANTWAUN.THOMPSON@GMAIL.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 6/11/2015
Organization Incorporation State NC
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code O99 - Youth Development N.E.C.
Organization’s purpose Charitable: Yes
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
Signature Title
Signature Date

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