FORM 1023-EZ for AGILE ATHLETIC ASSOCIATION INC

Field Data
EIN 82-5026955
Case Number EO-2018142-000108
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name AGILE ATHLETIC ASSOCIATION INC
Organization’s Mailing Address 568 SHADOW OAKS DRIVE
City STONE MOUNTAIN
State GA
ZIP 30087
Accounting period End 12
Primary contact name DIONNA SQUIRES
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

DIONNA SQUIRES
PRESIDENT
568 SHADOW OAKS DRIVE
STONE MOUNTAIN GA 30087

Officer/Director/Trustee Two

JILLIAN SQUIRES
TREASURER
568 SHADOW OAKS DRIVE
STONE MOUNTAIN GA 30087

Officer/Director/Trustee Three

JUDITH ALEXANDER-SQUIRES
BOARD MEMBER
6800 ROCKLAND ROAD
LITHONIA GA 30038

Officer/Director/Trustee Four

TREVAUGHN SQUIRES
BOARD MEMBER
6800 ROCKLAND ROAD
LITHONIA GA 30038

Officer/Director/Trustee Five

JASON RICHARDS
SECRETARY
3407 UNDERWOOD RD SE
CONYERS GA 30013

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 5/10/18
Organization Incorporation State GA
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code P20 - Human Service Organizations - Multipurpose
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 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 DIONNA SQUIRES
Signature Title PRESIDENT
Signature Date 5/18/18

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