FORM 1023-EZ for NOOKSACK VALLEY YOUTH BASKETBALL

Field Data
EIN 47-2764016
Case Number EO-2015062-000249
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name NOOKSACK VALLEY YOUTH BASKETBALL
Organization’s Mailing Address 110 PARK DRIVE
City EVERSON
State WA
ZIP 98247
Accounting period End 12
Primary contact name TANYA SILVES
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

TYLER SILVES
PRESIDENT
110 PARK DRIVE
EVERSON WA 98247

Officer/Director/Trustee Two

NORM VIGRE
VICE PRESIDENT
820 ROSE LANE
LYNDEN WA 98264

Officer/Director/Trustee Three

ANGIE HUGHES
SECRETARY
9555 RED MOUNTAIN LANE
MAPLE FALLS WA 98244

Officer/Director/Trustee Four

TANYA SILVES
TREASURER
110 PARK DRIVE
EVERSON WA 98247

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 1/23/2015
Organization Incorporation State WA
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code N62 - Basketball
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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