FORM 1023-EZ for TEAM ADIDAS KNOXVILLE

Field Data
EIN 82-1463819
Case Number EO-2017132-000231
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name TEAM ADIDAS KNOXVILLE
Organization’s Mailing Address 7808 ASHEVILLE HWY
City KNOXVILLE
State TN
ZIP 37924
Accounting period End 12
Primary contact name JOY VAULTON
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

BARRY VAULTON
PRESIDENT
408 JUDSON RD
STRAWBERRY PLAINS TN 37871

Officer/Director/Trustee Two

LANCE GAMMON
VICE-PRESIDENT
7808 ASHEVILLE HWY
KNOXVILLE TN 37924

Officer/Director/Trustee Three

JOY VAULTON
SECRETARY
408 JUDSON RD
STRAWBERRY PLAI TN 37871

Officer/Director/Trustee Four

EZRA PHILLIPS
TREASURER
108 S WOODDALE RD
KNOXVILLE TN 37924

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 5/9/2017
Organization Incorporation State TN
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code N65 - Football Clubs, Leagues
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 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
Signature Title
Signature Date

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