FORM 1023-EZ for FC BASKETBALL INC

Field Data
EIN 46-3358916
Case Number EO-2014303-000464
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name FC BASKETBALL INC
Organization’s Mailing Address 3430 GOOSE DAM RD
City ROCKY MOUNT
State VA
ZIP 24151
Accounting period End 7
Primary contact name APRIL BISHOP
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

BRANDON SMITH
PRESIDENT/DIRECTOR
3430 GOOSE DAM RD
ROCKY MOUNT VA 24151

Officer/Director/Trustee Two

KEITH TURNER
VICE PRESIDENT/DIRECTOR
100 TEEL BROOKE RD
ROCKY MOUNT VA 24151

Officer/Director/Trustee Three

LORRIE WILLIAMS
TREASURER/DIRECTOR
693 DOUBLE BRANCH RD
ROCKY MOUNT VA 24151

Officer/Director/Trustee Four

APRIL BISHOP
SECRETARY/DIRECTOR
200 WATERFRONT RD
GLADE HILL VA 24092

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 6/19/2013
Organization Incorporation State VA
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code N60 - Amateur Sports Clubs, Leagues, N.E.C.
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 Yes
Donation of funds Yes
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
Signature Title
Signature Date

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