FORM 1023-EZ for CHICAGO PUBLIC LEAGUE BASKETBALL COACHES ASSOCIATION

Field Data
EIN 32-0125969
Case Number EO-2016103-000083
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name CHICAGO PUBLIC LEAGUE BASKETBALL COACHES ASSOCIATION
Organization’s Mailing Address 3250 W ADAMS ST
City CHICAGO
State IL
ZIP 60624
Accounting period End 12
Primary contact name EUGENE S HENRY JR
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

DOROTHY GATERS
CO-EXECUTIVE DIRECTOR
900 N 3RD AVE
MAYWOOD IL 60153

Officer/Director/Trustee Two

EUGENE HENRY
CO-EXECUTIVE DIRECTOR
8604 S PRAIRIE AVE
CHICAGO IL 60619-6044

Officer/Director/Trustee Three

SHEREENA LEWIS
PRESIDENT
6265 N CICERO AVE
CHICAGO IL 60646

Officer/Director/Trustee Four

KENNETH CRUMP
1ST VICE PRESIDENT
8604 S PRAIRIE AVE
CHICAGO IL 60619-6044

Officer/Director/Trustee Five

GWEN HOWARD
2ND VICE PRESIDENT
3916 WEST WILCOX
CHICAGO IL 60624

Organization’s website WWW.CPLBCA.ORG
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 9/8/1982
Organization Incorporation State IL
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 No
Benefit of College No
Private Foundation 508(e) Yes
Seeking Retroactive Reinstatement No
Seeking Section 7 Reinstatement No
Correctness Declaration Yes
Signature Name
Signature Title
Signature Date

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