FORM 1023-EZ for APPALACHIAN OUTDOORSMEN ASSOCIATIONINC

Field Data
EIN 81-2148230
Case Number EO-2016263-000175
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name APPALACHIAN OUTDOORSMEN ASSOCIATIONINC
Organization’s Mailing Address 1845 SPAWS CREEK ROAD
City WEST LIBERTY
State KY
ZIP 41472
Accounting period End 12
Primary contact name JIMMY CANTRELL
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

JIMMY CANTRELL
PRESIDENT
1845 SPAWS CREEK ROAD
WEST LIBERTY KY 41472-8191

Officer/Director/Trustee Two

KEITH FETTERS
SECRETARY
PO BOX 213
FRENCHBURG KY 40322-0213

Officer/Director/Trustee Three

JUDY CANTRELL
TREASURER
1845 SPAWS CREEK ROAD
WEST LIBERTY KY 41472-8191

Officer/Director/Trustee Four

JOEY ADKINS
DIRECTOR
1231 HANEY BRANCH ROAD
WEST LIBERTY KY 41472-8191

Officer/Director/Trustee Five

LEE HAMPTON
DIRECTOR
892 HIGHWAY 191
WEST LIBERTY KY 41472-8191

Organization’s website WWW.APPALACHIANOUTDOORSMEN.COM
Organization’s email JIMMYA.CANTRELL@GMAIL.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 4/19/2016
Organization Incorporation State KY
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code N61 - Fishing, Hunting Clubs
Organization’s purpose Charitable: Yes
Religious: No
Educational: Yes
Scientific: Yes
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
Signature Title
Signature Date

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