FORM 1023-EZ for I5 ELITE SPORTS CLUB INC

Field Data
EIN 86-2832064
Case Number EO-2021100-000118
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name I5 ELITE SPORTS CLUB INC
Organization’s Mailing Address 681 HOLLINS FERRY ROAD
City GLEN BERNIE
State MD
ZIP 21601
Accounting period End 12
Primary contact name ERIC M ALLEN SR
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

ERIC ALLEN SR
PRESIDENT
213 EISENHOWER COURT
ODENTON MD 21113

Officer/Director/Trustee Two

KEVYN DODSON
VICE PRESIDENT
1408 WINTER PINE TRAIL
SEVERN MD 21144

Officer/Director/Trustee Three

TISHY HALL
SECRETARY
1501 SHADYWOOD COURT
CROFTON MD 21114

Officer/Director/Trustee Four

ANTOINETTE ALLEN
TREASURER
213 EISENHOWER COURT
ODENTON MD 21113

Organization’s website I5ELITE.COM
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 3/15/2021
Organization Incorporation State MD
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: Yes
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 Yes
Benefit of College No
Private Foundation 508(e) No
Seeking Retroactive Reinstatement No
Seeking Section 7 Reinstatement No
Correctness Declaration Yes
Signature Name ERIC ALLEN SR
Signature Title PRESIDENT
Signature Date 3/30/2021

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