FORM 1023-EZ for CAROLINA INDOOR SPORTS

Field Data
EIN 35-2648627
Case Number EO-2019066-000344
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name CAROLINA INDOOR SPORTS
Organization’s Mailing Address 143 HARTWICK LANE
City FOUNTAIN INN
State SC
ZIP 29644
Accounting period End 12
Primary contact name BRUCE B CAMPBELL
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

ANDY DAVIS
DIRECTOR
143 HARTWICK LANE
FOUNTAIN INN SC 29644

Officer/Director/Trustee Two

JAN DAVIS
DIRECTOR
143 HARTWICK LANE
FOUNTAIN INN SC 29644

Officer/Director/Trustee Three

DAN FULCHER
DIRECTOR
517 SADDLEBRED DRIVE
PELZER SC 29669

Officer/Director/Trustee Four

LESLIE FULCHER
DIRECTOR
517 SADDLEBRED DRIVE
PELZER SC 29669

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 10/25/18
Organization Incorporation State SC
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code O50 - Youth Development Programs, Other
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 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 ANDY DAVIS
Signature Title DIRECTOR
Signature Date 3/5/19

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