FORM 1023-EZ for SINGLE STRING ARCHERY CLUB

Field Data
EIN 87-2080022
Case Number EO-2021223-000461
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name SINGLE STRING ARCHERY CLUB
Organization’s Mailing Address 187 ELIS PASS
City LEBANON
State OH
ZIP 45036
Accounting period End 12
Primary contact name TREVOR FIELDER
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

TREVOR FIELDER
DIRECTOR AND OFFICER
187 ELIS PASS
LEBANON OH 45036

Officer/Director/Trustee Two

JACKIE MARTIN
DIRECTOR AND OFFICER
1022 POLLARD RD
CHRISTIANSBURG VA 24073

Officer/Director/Trustee Three

FAWN KRIEG-GIRARD
DIRECTOR AND OFFICER
931 GIBSON RD
MARTINSVILLE OH 45146

Officer/Director/Trustee Four

CHARLOTTE FIELDER
DIRECTOR AND OFFICER
187 ELIS PASS
LEBANON OH 45036

Organization’s website
Organization’s email
Organization Incorporated No
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 8/9/2021
Organization Incorporation State OH
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code N50 - Recreational, Pleasure, or Social Club
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 Yes
Donation of funds Yes
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 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 TREVOR FIELDER
Signature Title DIRECTOR AND OFFICER
Signature Date 8/10/2021

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