FORM 1023-EZ for ATHLETIC CLUB OF FAIRHILL INC

Field Data
EIN 83-1849736
Case Number EO-2019277-001008
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name ATHLETIC CLUB OF FAIRHILL INC
Organization’s Mailing Address 1205 E COLUMBIA AVE
City PHILADELPHIA
State PA
ZIP 19125
Accounting period End 12
Primary contact name SHERMAN WASHINGTON
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

ANDRE LANDRY
PRESIDENT
1235 W ALLEGHENY AVE UNIT 3
PHILADELPHIA PA 19133

Officer/Director/Trustee Two

TARIQ MANGUM MANGUM
VICE PRESIDENT
2220 N CARLISLE ST UNIT 1
PHILADELPHIA PA 19132

Officer/Director/Trustee Three

SHERMAN WASHINGTON
TREASURER
1205 E COLUMBIA AVE
PHILADELPHIA PA 19125

Officer/Director/Trustee Four

JAMES BURKS
DIRECTOR
3423 FAIRMOUNT AVE
PHILAELPHIA PA 19104

Officer/Director/Trustee Five

MATTHEW MONROE
SECRETARY
30 S 15TH ST SUITE 1500
PHILADELPHIA PA 19102

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 9/10/18
Organization Incorporation State PA
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code O20 - Youth Centers, Clubs, Multipurpose
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 ANDRE LANDRY
Signature Title PRESIDENT
Signature Date 10/2/19

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