FORM 1023-EZ for D M PANTHERS BASKETBALL CLUB

Field Data
EIN 14-2011125
Case Number EO-2018110-000142
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name D M PANTHERS BASKETBALL CLUB
Organization’s Mailing Address 174 E MOURNING DOVE WAY
City GALLOWAY
State NJ
ZIP 8205
Accounting period End 12
Primary contact name DONNA GREEN
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

MICHAEL BROWN
PRESIDENT
137 W HARMONY STREET
PENNS GROVE NJ 8069

Officer/Director/Trustee Two

DONNA GREEN
VICE PRESIDENT
174 E MOURNING DOVE WAY
GALLOWAY NJ 8205

Officer/Director/Trustee Three

MARY LOU FAULK
SECRETARY
559 N DELAWARE AVENUE
ATLANTIC CITY NJ 8401

Officer/Director/Trustee Four

ANGELA PARKS
TREASUER
168 E MOURNING DOVE WAY
GALLOWAY NJ 8205

Officer/Director/Trustee Five

DWIGHT MELTON
TRUSTEE
6327 HARDING HIGHWAY
MAYS LANDING NJ 8330

Organization’s website
Organization’s email DMPANTHERS@COMCAST.NET
Organization Incorporated No
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 2/1/08
Organization Incorporation State NJ
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code N60 - Amateur Sports Clubs, Leagues, N.E.C.
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 Yes
Correctness Declaration Yes
Signature Name DONNA GREEN
Signature Title VICE PRESIDENT
Signature Date 4/18/18

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