FORM 1023-EZ for HIGH INTENSITY YOUTH BASKETBALL CAMP

Field Data
EIN 82-3435022
Case Number EO-2018095-000402
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name HIGH INTENSITY YOUTH BASKETBALL CAMP
Organization’s Mailing Address 14635 229TH STREET
City SPRINGFIELD GARDENS
State NY
ZIP 11413
Accounting period End 12
Primary contact name DAON MERRITT
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

DAVON MERRITT
PRESIDENT
14635 STREET
SPRINGFIELD GARDENS NY 11413

Officer/Director/Trustee Two

NICOLE RODRIGUEZ
TREASURER
13247 BENNETT COURT
JAMAICA NY 11434

Officer/Director/Trustee Three

DARLENE GAINES
SECRETARY
13247 BENNETT COURT
JAMAICA NY 11434

Organization’s website WWW.REALSKILLSBASKETBALL.ORG
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 10/31/17
Organization Incorporation State NY
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code N63 - Baseball, Softball
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 Yes
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 DAVON MERRITT
Signature Title PRESIDENT
Signature Date 3/21/18

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