FORM 1023-EZ for CHELSEA YOUTH BASKETBALL LEAGUE SUFFOLK COUNTY

Field Data
EIN 81-1092765
Case Number EO-2016020-000431
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name CHELSEA YOUTH BASKETBALL LEAGUE SUFFOLK COUNTY
Organization’s Mailing Address 240 REVERE BEACH PARKWAY
City CHELSEA
State MA
ZIP 02150
Accounting period End 4
Primary contact name MICHELE LOPEZ
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

MICHELE LOPEZ
PRESIDENT
240 REVERE BEACH PARKWAY
CHELSEA MA 02150

Officer/Director/Trustee Two

YAMIR RODRIGEZ
VICE PRESIDENT
24 CLARK AVE
CHELSEA MA 02150

Officer/Director/Trustee Three

DAMALI VIDOT
SECRETARY
151 HIGHLAND ST
CHELSEA MA 02150

Officer/Director/Trustee Four

KATHRYN BOURGEA
TREASURER
196 POPLAR ST
CHELSEA MA 02150

Officer/Director/Trustee Five

HERIBERTO FIGUEROA
GENERAL BOARD
587 PARK AVE
REVERE MA 02151

Organization’s website
Organization’s email CHELSEAYOUTHBASKETBALL02@GMAIL.COM
Organization Incorporated No
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 1/14/2016
Organization Incorporation State MA
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: 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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