FORM 1023-EZ for FAMILY SPORTS AND WELLNESS INC

Field Data
EIN 81-2955195
Case Number EO-2016253-000324
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name FAMILY SPORTS AND WELLNESS INC
Organization’s Mailing Address 402 JENNIFER SPRINGS DR
City MONROE
State GA
ZIP 30656
Accounting period End 12
Primary contact name CRICHTON HOLLINGSWORTH
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

CRICHTON HOLLINGSWORTH
CEO
402 JENNIFER SPRINGS DR
MONROE GA 30656

Organization’s website N/A
Organization’s email CRISHOLLINGSWORTH80@GMAIL.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 5/27/2016
Organization Incorporation State GA
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code N60 - Amateur Sports Clubs, Leagues, N.E.C.
Organization’s purpose Charitable: No
Religious: No
Educational: No
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 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 No
One Third Support Gifts No
Benefit of College No
Private Foundation 508(e) Yes
Seeking Retroactive Reinstatement No
Seeking Section 7 Reinstatement No
Correctness Declaration Yes
Signature Name
Signature Title
Signature Date

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