FORM 1023-EZ for IN HOUSE ATHLETICS

Field Data
EIN 84-1902630
Case Number EO-2019154-000555
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name IN HOUSE ATHLETICS
Organization’s Mailing Address 5
City OFALLON
State IL
ZIP 62269
Accounting period End 12
Primary contact name ANDRE MAYNE
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

ANDRE MAYNE
DIRECTOR
802 W MAIN
COLLINSVILLE IL 62234

Officer/Director/Trustee Two

KIMYDA MAYNE
DIRECTOR
802 W MAIN
COLLINSVILLE IL 62234

Officer/Director/Trustee Three

BOBBY COLEMAN
DIRECTOR
533 MERCER CT
OFALLON IL 62269

Officer/Director/Trustee Four

BRENNA COLEMAN
DIRECTOR
533 MERCER CT
OFALLON IL 62269

Officer/Director/Trustee Five

ASIA RICHARSSON
DIRECTOR
112 WELLINGTON DR
WEDDINGTON NC 28104

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 3/1/19
Organization Incorporation State IL
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: No
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 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 ANDRE MAYNE
Signature Title DIRECTOR
Signature Date 5/31/19

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