FORM 1023-EZ for COUGAR FEEDER BASKETBALL

Field Data
EIN 84-1751631
Case Number EO-2019207-000189
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name COUGAR FEEDER BASKETBALL
Organization’s Mailing Address 1028 ALABAMA DRIVE
City ELK GROVE VILLAGE
State IL
ZIP 60007
Accounting period End 12
Primary contact name MATT KRUEGER
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

ANTHONY MILLER
PRESIDENT
1028 ALABAMA DRIVE
ELK GROVE VILLAGE IL 60007

Officer/Director/Trustee Two

PAT MCCORMACK
DIRECTOR
417 GREENHILL LANE
SCHAUMBURG IL 60193

Officer/Director/Trustee Three

JOSH TESCHNER
DIRECTOR
623 STRATFORD LANE
SCHAUMBURG IL 60193

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 4/18/19
Organization Incorporation State IL
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code N62 - Basketball
Organization’s purpose Charitable: No
Religious: No
Educational: No
Scientific: No
Literary: No
Public Safety: No
Amateur Sports: Yes
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 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 ANTHONY MILLER
Signature Title PRESIDENT
Signature Date 7/24/19

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