FORM 1023-EZ for BOONE BALLERZ BASKETBALL INC

Field Data
EIN 83-1603363
Case Number EO-2019035-000190
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name BOONE BALLERZ BASKETBALL INC
Organization’s Mailing Address 1309 GLEN ABBEY WAY
City JOHNSON CITY
State TN
ZIP 37615
Accounting period End 6
Primary contact name KAREN JENKINS
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

KAREN JENKINS
PRESIDENT/DIRECTOR
1309 GLEN ABBEY WAY
JOHNSON CITY TN 37615

Officer/Director/Trustee Two

AMANDA WESTBROOK
TREASURER/DIRECTOR
274 HAYFIELD DR
JOHNSON CITY TN 37615

Officer/Director/Trustee Three

SAM FUGATE
VICE-PRESIDENT/DIRECTOR
991 OLD GRAY STATION RD
GRAY TN 37615

Officer/Director/Trustee Four

HEATHER LIGHT
SECRETARY/DIRECTOR
1309 GLEN ABBEY WAY
JOHNSON CITY TN 37615

Officer/Director/Trustee Five

ERIC BAILEY
DIRECTOR
1309 GLEN ABBEY WAY
JOHNSON CITY TN 37615

Organization’s website WWW.BOONEBALLERZ.ORG
Organization’s email JKAJENKINS@HOTMAIL.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 1/8/19
Organization Incorporation State TN
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code O20 - Youth Centers, Clubs, 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 Yes
One Third Support Gifts No
Benefit of College No
Private Foundation 508(e) No
Seeking Retroactive Reinstatement No
Seeking Section 7 Reinstatement No
Correctness Declaration Yes
Signature Name KAREN JENKINS
Signature Title PRESIDENT/DIRECTOR
Signature Date 1/14/19

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