FORM 1023-EZ for ARCHANGEL ARCHERY CLUB INC

Field Data
EIN 87-0926876
Case Number EO-2021179-000250
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name ARCHANGEL ARCHERY CLUB INC
Organization’s Mailing Address 116 HOLLY TREE RD
City CARROLLTON
State GA
ZIP 30116
Accounting period End 12
Primary contact name KIM LATIMER
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

JERRY LATIMER JR
PRESIDENT DIRECTOR
490 SANDHILL HULETT RD
VILLA RICA GA 30180

Officer/Director/Trustee Two

RICKY SHIRLEY
SECRETARY DIRECTOR
2815 OLD BUSHMILL RD
BREMEN GA 30110

Officer/Director/Trustee Three

ROBERT WILLOUGHBY
TREASURER DIRECTOR
9233 HIGHPOINT RD
VILLA RICA GA 30180

Officer/Director/Trustee Four

KIM LATIMER
DIRECTOR
490 SANDHILL HULETT RD
VILLA RICA GA 30180

Organization’s website NA
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 5/13/2021
Organization Incorporation State GA
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code P20 - Human Service Organizations - Multipurpose
Organization’s purpose Charitable: Yes
Religious: No
Educational: Yes
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 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 KIM LATIMER
Signature Title DIRECTOR
Signature Date 6/25/2021

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