FORM 1023-EZ for ADAPTIVE ATHLETICS

Field Data
EIN 87-1569432
Case Number EO-2021190-000301
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name ADAPTIVE ATHLETICS
Organization’s Mailing Address 613 LAFAYETTE PARK DR
City LITTLE RIVER
State SC
ZIP 29566-7762
Accounting period End 12
Primary contact name JESSE LIND
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

JESSE LIND
PRESIDENT
613 LAFAYETTE PARK DR
LITTLE RIVER SC 29566-7762

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 7/6/2021
Organization Incorporation State SC
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: 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 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 JESSE LIND
Signature Title PRESIDENT
Signature Date 7/8/2021

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