FORM 1023-EZ for CROSBY - COUTO BASKETBALL FUND

Field Data
EIN 85-1470583
Case Number EO-2020260-000109
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name CROSBY - COUTO BASKETBALL FUND
Organization’s Mailing Address 62 PADELFORD STREET
City BERKLEY
State MA
ZIP 02779-1109
Accounting period End 12
Primary contact name LISA M CROSBY
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

LISA CROSBY
PRESIDENT
62 PADELFORD STREET
BERKLEY MA 02779-1109

Officer/Director/Trustee Two

TANIA COUTO
VICE PRESIDENT
13 DEERFIELD DRIVE
BERKLEY MA 02779-1109

Organization’s website
Organization’s email
Organization Incorporated No
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 6/17/2020
Organization Incorporation State MA
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code Z99 -
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 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 LISA CROSBY
Signature Title PRESIDENT
Signature Date 9/13/2020

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