FORM 1023-EZ for ATKINS SKILLS CONDITIONING & TRAINING

Field Data
EIN 84-2414136
Case Number EO-2019247-000146
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name ATKINS SKILLS CONDITIONING & TRAINING
Organization’s Mailing Address 4551 HIGHWAY 24/27 EAST
City MIDLAND
State NC
ZIP 28107
Accounting period End 12
Primary contact name ANTHONY ATKINS
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

ANTHONY ATKINS JR
PRESIDENT
1007 RAMSGATE DR SW
CONCORD NC 28025-9261

Officer/Director/Trustee Two

ANTHONY ATKINS SR
VICE PRESIDENT
1007 RAMSGATE DR SW
CONCORD NC 28025-9261

Officer/Director/Trustee Three

LOLA GREENE
BOARD MEMBER
42114A ADAMS RD
NEW LONDON NC 28127-9513

Officer/Director/Trustee Four

ANITA ATKINS
SECRETARY
4551 24/27 EAST
MIDLAND NC 28107

Officer/Director/Trustee Five

KENNY CLARK
BOARD MEMBER
1054 PINEY CHURCH RD
CONCORD NC 28025-9261

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 7/9/19
Organization Incorporation State NC
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code P80 - Services to Promote the Independence of Specific Populations
Organization’s purpose Charitable: Yes
Religious: No
Educational: Yes
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 ANTHONY ATKINS JR
Signature Title PRESIDENT
Signature Date 8/30/19

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