FORM 1023-EZ for ESPORTS CLUB AT UTK

Field Data
EIN 83-1941914
Case Number EO-2019035-001011
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name ESPORTS CLUB AT UTK
Organization’s Mailing Address 312 AYRES HALL 1403 CIRCLE DRIVE
City KNOXVILLE
State TN
ZIP 37996-1330
Accounting period End 8
Primary contact name JASON SMETHERS
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

JASON SMETHERS
ADVISOR
312 AYRES HALL
KNOXVILLE TN 37996

Officer/Director/Trustee Two

MICHAEL SLANDZICKI
PRESIDENT
312 AYRES HALL
KNOXVILLE TN 37996

Officer/Director/Trustee Three

HARRISON FAIN
TREASURER
312 AYRES HALL
KNOXVILLE TN 37996

Officer/Director/Trustee Four

GINA CARVAGNO
SECRETARY
312 AYRES HALL
KNOXVILLE TN 37996

Officer/Director/Trustee Five

JENNA BLOUIN
VICE PRESIDENT
312 AYRES HALL
KNOXVILLE TN 37996

Organization’s website WWW.UTKESPORTS.COM
Organization’s email ESPORTS@UTK.EDU
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 8/1/17
Organization Incorporation State TN
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: 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 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 JASON SMETHERS
Signature Title ADVISOR
Signature Date 1/15/19

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