FORM 1023-EZ for BLUNTS ATHLETIC TRAINING

Field Data
EIN 85-2278408
Case Number EO-2020226-000446
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name BLUNTS ATHLETIC TRAINING
Organization’s Mailing Address 8010 CHESTNUT HILLS
City MORGANTOWN
State WV
ZIP 26505
Accounting period End 12
Primary contact name CALVIN DEON BLUNT SR
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

CALVIN BLUNT SR
EXECUTIVE DIRECTOR
8010 CHESTNUT HILLS
MORGANTOWN WV 26505

Officer/Director/Trustee Two

BUCK BROOKS
PRESIDENT
306 DAIRY LANE
MORGANTOWN WV 26508

Officer/Director/Trustee Three

YONE GAYLE
VICE PRESIDENT
228 SOUTH PINE STREET
CARMICHAELS PA 15320

Officer/Director/Trustee Four

YVONNE GAYLE
SECRETARY
228 SOUTH PINE STREET
CARMICHAELS PA 15320

Officer/Director/Trustee Five

CAMESHIA ROGERS
TREASURER
2955 CROSS COUNTRY DRIVE
GERMANTOWN TN 38138

Organization’s website
Organization’s email BLUNTSATHLETICTRAINING@GMAIL.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 8/11/2020
Organization Incorporation State WV
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code N02 - Management & Technical Assistance
Organization’s purpose Charitable: Yes
Religious: Yes
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 Yes
Donation of funds Yes
Conducting Activities Outside of United States Yes
Financial transactions with officers Yes
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 No
Correctness Declaration Yes
Signature Name CALVIN BLUNT SR
Signature Title EXECUTIVE DIRECTOR
Signature Date 8/11/2020

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