FORM 1023-EZ for BASOAM INC

Field Data
EIN 30-0737285
Case Number EO-2015190-000268
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name BASOAM INC
Organization’s Mailing Address 3816 SOUTH LAKE TERRACE
City MIRAMAR
State FL
ZIP 33023
Accounting period End 12
Primary contact name DEBRA HINES
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

DEBRA HINES
PRESIDENT
3816 SOUTH LAKE TERRACE
MIRAMAR FL 33023

Officer/Director/Trustee Two

SCHATZI WRIGHT
OFFICER
3816 SOUTH LAKE TERRACE
MIRAMAR FL 33023

Officer/Director/Trustee Three

MICHELLE MCGIRT
SECRETARY
4105 NW 185TH STREET
MIAMI FL 33055

Officer/Director/Trustee Four

LAQUONIA HINES
DIRECTOR
15801 NW 28TH COURT
MIAMI GARDENS FL 33054

Officer/Director/Trustee Five

JAMIE HINES
VICE PRESIDENT
3816 SOUTH LAKE TERRACE
MIRAMAR FL 33023

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 5/15/2012
Organization Incorporation State FL
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: 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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