FORM 1023-EZ for SPORTS FOR HEALTH INC

Field Data
EIN 84-3650375
Case Number EO-2020083-000322
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name SPORTS FOR HEALTH INC
Organization’s Mailing Address 1104 NORTH MAIN
City MONTICELLO
State KY
ZIP 42633
Accounting period End 12
Primary contact name GORDON CROWLEY
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

JEFF SMITH
DIRECTOR/PRESIDENT
1104 NORTH MAIN
MONTICELLO KY 42633

Officer/Director/Trustee Two

ERIC LOY
DIRECTOR/VICE PRESIDENT
385 WILDERNESS PT
NANCY KY 42544

Officer/Director/Trustee Three

JOEY TUCKER
DIRECTOR/SECRETARY
4732 LARISSA LANE
LEXINGTON KY 40514

Officer/Director/Trustee Four

WHITNEY SMITH
TREASURER
1104 NORTH MAIN
MONTICELLO KY 42633

Organization’s website
Organization’s email SMITHCHIROPRACTIC@YAHOO.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 11/5/2019
Organization Incorporation State KY
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code N70 - Amateur Sports Competitions
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 Yes
Benefit of College No
Private Foundation 508(e) No
Seeking Retroactive Reinstatement No
Seeking Section 7 Reinstatement No
Correctness Declaration Yes
Signature Name JEFF SMITH
Signature Title DIRECTOR/PRESIDENT
Signature Date 3/20/2020

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