FORM 1023-EZ for PALOS VERDES YOUTH BASKETBALL LEAGUE

Field Data
EIN 83-1193849
Case Number EO-2018206-000170
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name PALOS VERDES YOUTH BASKETBALL LEAGUE
Organization’s Mailing Address 2263 W 190TH STREET
City TORRANCE
State CA
ZIP 90504
Accounting period End 12
Primary contact name EVE FITZSIMMONS ESQ
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

ROGER LIN
CHIEF EXECUTIVE OFFICER
2263 W 190TH STREET
TORRANCE CA 90504

Officer/Director/Trustee Two

SCOTT ALLEN
SECRETARY
2219 ESTRIBO DRIVE
ROLLING HILLS ESTATE CA 90274

Officer/Director/Trustee Three

TOM SCHLOEMER
CHIEF FINANCIAL OFFICER
2609 VIA SEGUNDA
PALOS VERDES ESTATES CA 90274

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 7/10/18
Organization Incorporation State CA
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code B90 - Educational Services and Schools - Other
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 ROGER LIN
Signature Title CHIEF EXECUTIVE OFFICER
Signature Date 7/23/18

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