FORM 1023-EZ for PIKE ROAD QB CLUB

Field Data
EIN 83-3837767
Case Number EO-2019077-000409
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name PIKE ROAD QB CLUB
Organization’s Mailing Address 40 WATERSCAPES DR
City PIKE ROAD
State AL
ZIP 36064
Accounting period End 12
Primary contact name PATRICK BROWNING
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

PATRICK BROWNING
DIRECTOR
40 WATERSCAPES DR
PIKE ROAD AL 36064

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 3/6/19
Organization Incorporation State AL
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code A12 - Fund Raising and/or Fund Distribution
Organization’s purpose Charitable: Yes
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 Yes
Private Foundation 508(e) No
Seeking Retroactive Reinstatement No
Seeking Section 7 Reinstatement No
Correctness Declaration Yes
Signature Name PATRICK BROWNING
Signature Title DIRECTOR
Signature Date 3/14/19

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