FORM 1023-EZ for MARION COUNTY YOUTH BASKETBALL 12U

Field Data
EIN 94-3483915
Case Number EO-2018218-000293
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name MARION COUNTY YOUTH BASKETBALL 12U
Organization’s Mailing Address 109 GLENWOOD ST
City FAIRMONT
State WV
ZIP 26554
Accounting period End 8
Primary contact name JOSEPH BIRO
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

COLLIN PETONIK
DIRECTOR
1920 COUNTRY CLUB RD
FAIRMONT WV 26554

Officer/Director/Trustee Two

GREG BENNETT
BOARD MEMBER
23 BURNT CABIN RD
FAIRMONT WV 26554

Officer/Director/Trustee Three

BRAD SLUSSER
BOARD MEMBER
221 MARKET ST
FAIRMONT WV 26554

Officer/Director/Trustee Four

JOSEPH BIRO
BOARD MEMBER
109 GLENWOOD ST
FAIRMONT WV 26554

Organization’s website
Organization’s email
Organization Incorporated No
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 6/1/09
Organization Incorporation State WV
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: 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 Yes
Seeking Section 7 Reinstatement No
Correctness Declaration Yes
Signature Name JOSEPH BIRO
Signature Title BOARD MEMBER
Signature Date 8/1/18

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