FORM 1023-EZ for SOMERSET ARCHERY INC

Field Data
EIN 46-3468165
Case Number EO-2017250-000210
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name SOMERSET ARCHERY INC
Organization’s Mailing Address 228 MAGNOLIA AVE
City SOMERSET
State KY
ZIP 42503
Accounting period End 12
Primary contact name TRACY CASADA
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

CLAYTON SMITH
PRESIDENT
304 CLEMENTS AVE
SOMERSET KY 42501

Officer/Director/Trustee Two

CHRIS HINES
VP
618 PRATHER DR
NANCY KY 42544

Officer/Director/Trustee Three

RENEE SMITH
TREASURER
304 CLEMENTS AVE
SOMERSET KY 42501

Officer/Director/Trustee Four

TRACY CASADA
SECRETARY
228 MAGNOLIA AVE
SOMERSET KY 42503

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 2/25/2014
Organization Incorporation State KY
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code N99 - Recreation, Sports, Leisure, Athletics N.E.C.
Organization’s purpose Charitable: No
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 Yes
Seeking Section 7 Reinstatement No
Correctness Declaration Yes
Signature Name
Signature Title
Signature Date

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