FORM 1023-EZ for NORTH CAROLINA YOUTH BASKETBALL FOUNDATION

Field Data
EIN 81-4014996
Case Number EO-2016301-000114
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name NORTH CAROLINA YOUTH BASKETBALL FOUNDATION
Organization’s Mailing Address 2375 BIRCH VIEW DRIVE
City HIGH POINT
State NC
ZIP 27265
Accounting period End 12
Primary contact name GREGORY WILLIAMS
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

GREGORY WILLIAMS
PRESIDENT/DIRECTOR
2375 BIRCH VIEW DRIVE
HIGH POINT NC 27265

Officer/Director/Trustee Two

ANDRE MILLER
TREASURER/DIRECTOR
2375 BIRCH VIEW DRIVE
HIGH POINT NC 27265

Officer/Director/Trustee Three

BRIGETTE MOOREMAN
SECRETARY/DIRECTOR
2375 BIRCH VIEW DRIVE
HIGH POINT NC 27265

Officer/Director/Trustee Four

RON SMITH
DIRECTOR
2375 BIRCH VIEW DRIVE
HIGH POINT NC 27265

Officer/Director/Trustee Five

DONALD BOHANNON
DIRECTOR
2375 BIRCH VIEW DRIVE
HIGH POINT NC 27265

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 10/10/2016
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: No
Religious: No
Educational: No
Scientific: No
Literary: No
Public Safety: No
Amateur Sports: Yes
Cruelty Prevention: Yes
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
Signature Title
Signature Date

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