FORM 1023-EZ for ARCHER VOLLEYBALL BOOSTERS CLUB INC

Field Data
EIN 27-0514065
Case Number EO-2015110-000178
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name ARCHER VOLLEYBALL BOOSTERS CLUB INC
Organization’s Mailing Address 2255 NEW HOPE ROAD
City LAWRENCEVILLE
State GA
ZIP 30045
Accounting period End 12
Primary contact name LAURA PAYNE
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

LAURA PAYNE
CFO
2602 RUNNING RIVER COURT
LAWRENCEVILLE GA 30045

Officer/Director/Trustee Two

JILL AARON
CEO
2255 NEW HOPE ROAD
LAWRENCEVILLE GA 30045

Officer/Director/Trustee Three

ANN-MARIE COBB
DIRECTOR/ COACH
2255 NEW HOPE ROAD
LAWRENCEVILLE GA 30045

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 11/2/2011
Organization Incorporation State GA
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: No
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 Yes
Correctness Declaration Yes
Signature Name
Signature Title
Signature Date

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