FORM 1023-EZ for ARKANSAS ATHLETICS PREMIER 04

Field Data
EIN 82-5481247
Case Number EO-2018135-000111
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name ARKANSAS ATHLETICS PREMIER 04
Organization’s Mailing Address 1076 HIGHWAY 107
City QUITMAN
State AR
ZIP 72131
Accounting period End 12
Primary contact name LEANNE KENNEDY
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

NORMA BURRIS
OFFICER
3411 VILLAGE GREEN DRIVE
BRYANT AR 72022

Officer/Director/Trustee Two

KASAUNDRA MARTIN
OFFICER
7412 GERONIMO CIRCLE
NORTH LITTLE ROCK AR 72116

Officer/Director/Trustee Three

LEANNE KENNEDY
OFFICER
1076 HIGHWAY 107
QUITMAN AR 72131

Organization’s website NA
Organization’s email NEBURRIS1220@GMAIL.COM
Organization Incorporated No
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 9/1/17
Organization Incorporation State AR
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code O12 - Fund Raising and/or Fund Distribution
Organization’s purpose Charitable: No
Religious: No
Educational: No
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 No
One Third Support Gifts No
Benefit of College No
Private Foundation 508(e) Yes
Seeking Retroactive Reinstatement No
Seeking Section 7 Reinstatement No
Correctness Declaration Yes
Signature Name LEANNE KENNEDY
Signature Title OFFICER
Signature Date 5/9/18

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