FORM 1023-EZ for SPECIALIZED SPORTS ACADEMY INCORPORATED

Field Data
EIN 83-2266959
Case Number EO-2019079-000611
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name SPECIALIZED SPORTS ACADEMY INCORPORATED
Organization’s Mailing Address 2038 SOUTH FLORIDA WAY
City FAYETTEVILLE
State AR
ZIP 72701
Accounting period End 12
Primary contact name COURTNEY HEIMLICH
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

COURTNEY HEIMLICH
PRESIDENT
2038 SOUTH FLORIDAY WAY
FAYETTEVILLE AR 72701

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 11/5/18
Organization Incorporation State AR
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code O50 - Youth Development Programs, Other
Organization’s purpose Charitable: Yes
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 Yes
Donation of funds Yes
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 COURTNEY HEIMLICH
Signature Title PRESIDENT
Signature Date 3/18/19

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