FORM 1023-EZ for BANKHEAD ATLANGTA BOXING ACADEMY

Field Data
EIN 58-1517857
Case Number EO-2017095-000304
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name BANKHEAD ATLANGTA BOXING ACADEMY
Organization’s Mailing Address 2262 CAMPTON RD STE B
City ATLANTA
State GA
ZIP 30311
Accounting period End 11
Primary contact name SAMALJ FLOYD
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

SAMALJ FLOYD
FOUNDER CEO
1746 CENTRAL VILLA
ATL GA 30311

Officer/Director/Trustee Two

JAMES STEWART
OUTREACH COORDINATOR
1460 FASTIN RD
ATL GA 30311

Officer/Director/Trustee Three

SOLOMAN BRANNON
CFO
2447 CASCADE RD
ATL GA 30314

Officer/Director/Trustee Four

TWYLA STEWART
SECRETARY
2041 WESLEY AVE
ATL GA 30314

Organization’s website
Organization’s email COACHFLOYDFORTY@FORTY.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 11/1/1998
Organization Incorporation State GA
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code N99 - Recreation, Sports, Leisure, Athletics N.E.C.
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 Yes
One Third Support Gifts No
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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