FORM 1023-EZ for ALTA ATHLETES LEARNING TO ACHIEVE

Field Data
EIN 46-2261495
Case Number EO-2020076-000529
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name ALTA ATHLETES LEARNING TO ACHIEVE
Organization’s Mailing Address 2737 BURTON ROAD NW
City ATLANTA
State GA
ZIP 30311
Accounting period End 3
Primary contact name JOHNNY L CLARK
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

TRESA L CLARK
VICE PRESIDENT/SECRETARY
255 MARRIOTT DRIVE
COLLEGE PARK GA 30349

Officer/Director/Trustee Two

JOHNNY L CLARK
PRESIDENT/CEO
2737 BURTON ROAD
ATLANTA GA 30311

Officer/Director/Trustee Three

DEANA THOMAS
TREASURER
535 JESSAMINE SQ
ATLANTA GA 30349

Organization’s website WWW.ALTABLAZZIN.CLUB
Organization’s email ALTABBALL@GMAIL.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 8/19/2015
Organization Incorporation State GA
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code N62 - Basketball
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 No
Benefit of College No
Private Foundation 508(e) Yes
Seeking Retroactive Reinstatement No
Seeking Section 7 Reinstatement No
Correctness Declaration Yes
Signature Name JOHNNY L CLARK
Signature Title PRESIDENT/CEO
Signature Date 3/14/2020

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