FORM 1023-EZ for SMITH MENS BASKETBALL BOOSTERS

Field Data
EIN 82-3510294
Case Number EO-2017334-000183
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name SMITH MENS BASKETBALL BOOSTERS
Organization’s Mailing Address 2407 S HOLDEN RD
City GREENSBORO
State NC
ZIP 27407
Accounting period End 12
Primary contact name DERRICK PARTEE
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

DERRICK PARTEE
SECRETARY
693 TROTTERS RUN CT
WHITSETT NC 27377

Officer/Director/Trustee Two

JOYCE PARTEE
TREASURER
5 WOODCREEK COURT
GREENSBORO NC 27406

Officer/Director/Trustee Three

ANDREA WATKINS
PRESIDENT
1 WOLVERINE COURT
GREENSBORO NC 27406

Officer/Director/Trustee Four

SHAWNDA GAINEY
VICE PRESIDENT
1302 W VANDALIA RD
GREENSBORO NC 27406

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 11/27/2017
Organization Incorporation State NC
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code O50 - Youth Development Programs, Other
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 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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