FORM 1023-EZ for ARCHER LODGE MIDDLE SCHOOL ATHLETICBOOSTER CLUB

Field Data
EIN 33-1180800
Case Number EO-2021252-000065
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name ARCHER LODGE MIDDLE SCHOOL ATHLETICBOOSTER CLUB
Organization’s Mailing Address 762 WENDELL RD
City WENDELL
State NC
ZIP 27591
Accounting period End 7
Primary contact name SARA SOLVESKY
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

DEREK WYATT
PRESIDENT
67 PARAGGI CT
CLAYTON NC 27527

Officer/Director/Trustee Two

SARA SOLVESKY
TREASURER
167 E WILSON ST
CLAYTON NC 27520

Officer/Director/Trustee Three

KRISTY GUPTON
SECRETARY
92 BARRETTE LN
WENDELL NC 27591

Organization’s website
Organization’s email ALMSBOOSTERCLUB@GMAIL.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 9/6/2007
Organization Incorporation State NC
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code B25 - Secondary, High School
Organization’s purpose Charitable: No
Religious: No
Educational: Yes
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 No
Benefit of College No
Private Foundation 508(e) Yes
Seeking Retroactive Reinstatement No
Seeking Section 7 Reinstatement Yes
Correctness Declaration Yes
Signature Name SARA SOLVESKY
Signature Title TREASURER
Signature Date 9/4/2021
EIN 33-1180800
Case Number EO-2017030-000437
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name ARCHER LODGE MIDDLE SCHOOL ATHLETICBOOSTER CLUB
Organization’s Mailing Address 762 WENDELL ROAD
City WENDELL
State NC
ZIP 27591
Accounting period End 6
Primary contact name KEITH BLACKLEY
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

KEITH BLACKLEY
PRESIDENT
106 TEASEL CT
CLAYTON NC 27527-5215

Officer/Director/Trustee Two

BILLY DUNCAN
VICE-PRESIDENT
556 NEUSE RIVER PARKWAY
CLAYTON NC 27527-5289

Officer/Director/Trustee Three

JAMES GERRELL
TREASURER
300 CARROLL ROAD
SELMA NC 27576-6200

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 9/6/2007
Organization Incorporation State NC
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code B25 - Secondary, High School
Organization’s purpose Charitable: No
Religious: No
Educational: Yes
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 No
Benefit of College No
Private Foundation 508(e) Yes
Seeking Retroactive Reinstatement No
Seeking Section 7 Reinstatement Yes
Correctness Declaration Yes
Signature Name
Signature Title
Signature Date

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