FORM 1023-EZ for OPTIMIST FARM ACTIVITIES INC

Field Data
EIN 83-2108167
Case Number EO-2018282-000124
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name OPTIMIST FARM ACTIVITIES INC
Organization’s Mailing Address 2908 OPTIMIST FARM ROAD
City APEX
State NC
ZIP 27539
Accounting period End 12
Primary contact name JIMMIE G BAKER JR
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

STAN PICKETT
PRESIDENT AND DIRECTOR
6605 ARBOR GRANDE WAY
RALEIGH NC 27539

Officer/Director/Trustee Two

JIMMIE BAKER JR
VICE PRESIDENT AND DIRECTOR
9864 NC HWY 42
HOLLY SPRINGS NC 27540

Officer/Director/Trustee Three

DAVID FRITZ
TREASURER AND DIRECTOR
6105 WILKINSBURG ROAD
RALEIGH NC 27612

Officer/Director/Trustee Four

SCOTT BROWN
SECRETARY AND DIRECTOR
4204 SENTIMENTAL LANE
APEX NC 27539

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 5/22/17
Organization Incorporation State NC
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code N70 - Amateur Sports Competitions
Organization’s purpose Charitable: Yes
Religious: No
Educational: Yes
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 JIMMIE BAKER JR
Signature Title VICE PRESIDENT AND DIRECTOR
Signature Date 10/4/18

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