FORM 1023-EZ for ELITE TALENT SPORTS ACADEMY INC

Field Data
EIN 46-3441149
Case Number EO-2016266-000267
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name ELITE TALENT SPORTS ACADEMY INC
Organization’s Mailing Address 1677 BAXLEY PINE TRACE
City SUWANEE
State GA
ZIP 30024
Accounting period End 12
Primary contact name DERRICK TATUM
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

DUANE DENNIS
PRESIDENT, DIRECTOR
1105 PEACHTREE CORNERS PKWY
NORCROSS GA 30092

Officer/Director/Trustee Two

ERNEST SIMMS
SECRETARY, DIRECTOR
358 PARDUCCI TRL
COLLEGE PARK GA 30349

Officer/Director/Trustee Three

PAM KNEPP
TREASURER, DIRECTOR
5734 COTTAGE LN
CLERMONT GA 30527

Officer/Director/Trustee Four

DERRICK TATUM
EXECUTIVE DIRECTOR
1677 BAXLEY PINE TRACE
SUWANEE GA 30024

Organization’s website WWW.ELITETALENTFOOTBALL.COM
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 8/19/2013
Organization Incorporation State GA
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code O50 - Youth Development Programs, Other
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 Yes
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 Yes
Seeking Section 7 Reinstatement No
Correctness Declaration Yes
Signature Name
Signature Title
Signature Date

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