FORM 1023-EZ for AURORA ATHLETIC CLUB

Field Data
EIN 82-3656503
Case Number EO-2019207-000286
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name AURORA ATHLETIC CLUB
Organization’s Mailing Address 4790 STEMPLE RIDGE RD
City AURORA
State WV
ZIP 26705
Accounting period End 7
Primary contact name CHAD BISHOP
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

CHAD BISHOP
VICE PRESIDENT
5566 STEMPLE RIDGE RD
AURORA WV 26705

Officer/Director/Trustee Two

RANDY SINES
PRESIDENT
23480 GEORGE WASHINGTON HWY
AURORA WV 26705

Officer/Director/Trustee Three

JONI BLAMBLE
TREASURER
4790 STEMPLE RIDGE RD
AURORA WV 26705

Officer/Director/Trustee Four

REBECCA RUMER
SECRETARY
152 YOUGHIOGHENY DR
AURORA WV 26705

Organization’s website
Organization’s email
Organization Incorporated No
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 4/30/18
Organization Incorporation State WV
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: No
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 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 JONI BLAMBLE
Signature Title TREASURER
Signature Date 7/24/19

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