FORM 1023-EZ for AMERICAN MUSCLE FITNESS CLUB ASSOCIATION

Field Data
EIN 47-3088216
Case Number EO-2016047-000080
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name AMERICAN MUSCLE FITNESS CLUB ASSOCIATION
Organization’s Mailing Address 2200 WOODLANDS DR SE/APT604
City SMYRNA
State GA
ZIP 30080
Accounting period End 2
Primary contact name JAQUILLE FITZPATRICK
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

JAQUILLE FITZPATRICK
CHIEF EXECUTIVE OFFICER
2200 WOODLANDS DR SE
SMYRNA GA 30080

Officer/Director/Trustee Two

DENZEL VEALE
PRESIDENT
1739 BOULDER COVE
LITHONIA GA 30058

Officer/Director/Trustee Three

MYKESHIA WILLIAMS
SECRETARY
2200 WOODLANDS DR SE
SMYRNA GA 30080

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 9/22/2015
Organization Incorporation State GA
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code S80 - Community Service 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 Yes
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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