FORM 1023-EZ for NATIONAL ASSOCIATION OF ATHLETIC SPORTS INCORPORATED

Field Data
EIN 84-3177323
Case Number EO-2019284-000385
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name NATIONAL ASSOCIATION OF ATHLETIC SPORTS INCORPORATED
Organization’s Mailing Address 150 FOREST LAKE DRIVE
City FAYETTEVILLE
State GA
ZIP 30215-2117
Accounting period End 12
Primary contact name TAMIEKA JAMESON
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

DARRYL INMAN
CEO
150 FOREST LAKE DRIVE
FAYETTEVILLE GA 30215

Officer/Director/Trustee Two

BILLY D HAITI
VICE PRESIDENT
3702 HANCOCK DRIVE
DECATUR GA 30034-5023

Officer/Director/Trustee Three

JAMES MATHIS
DIRECTOR
4777 SPINEPOINT WAY
DOUGLASVILLE GA 30135-2091

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 9/14/19
Organization Incorporation State GA
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code N99 - Recreation, Sports, Leisure, Athletics N.E.C.
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 Yes
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 DARRYL INMAN
Signature Title CEO
Signature Date 10/8/19

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