FORM 1023-EZ for GOLDEN AGE SPORTS AND BUSINESS INC

Field Data
EIN 84-3712629
Case Number EO-2019326-000419
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name GOLDEN AGE SPORTS AND BUSINESS INC
Organization’s Mailing Address 31 ALICE AVE
City BUFFALO
State NY
ZIP 14215
Accounting period End 12
Primary contact name BLAIR HELTON
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

BLAIR HELTON
CHIEF EXECUTIVE OFFICER
107 MANHATTAN AVE 1177
BUFFALO NY 14215

Officer/Director/Trustee Two

JEAN CHARLES MWIBANIRE
SECRETARY
372 VILLA AVE
BUFFALO NY 14216

Officer/Director/Trustee Three

DAVE BENZ
TRESURER
107 MANHATTAN AVE 1177
BUFFALO NY 14215

Officer/Director/Trustee Four

KEVIN PETERSON
TRUSTEE
120 BICKFORD AVE
BUFFALO NY 14215

Officer/Director/Trustee Five

MARK WRIGHT
TRUSTEE
255 HARRISON
BUFFALO NY 14223

Organization’s website WWW.INSTAGRAM.COM/21ELITE
Organization’s email TUSKERMEDIC21@LIVE.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 11/18/19
Organization Incorporation State NY
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code N20 - Recreational and Sporting Camps
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 No
Correctness Declaration Yes
Signature Name BLAIR HELTON
Signature Title CHIEF EXECUTIVE OFFICER
Signature Date 11/20/19

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