FORM 1023-EZ for WEBSTER COUNTY YOUTH BASKETBALL INC

Field Data
EIN 82-2314705
Case Number EO-2017248-000243
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name WEBSTER COUNTY YOUTH BASKETBALL INC
Organization’s Mailing Address PO BOX 434
City CLAY
State KY
ZIP 42404
Accounting period End 6
Primary contact name LANCE WARREN
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

LANCE WARREN
PRESIDENT
1997 ST RT 270 WEST
CLAY KY 42404

Officer/Director/Trustee Two

CORY GARRARD
VICE PRESIDENT
131 RUSSELL ST
CLAY KY 42404

Officer/Director/Trustee Three

VALERIE WHITLEDGE
TREASURER
8491 ST RT 270 WEST
CLAY KY 42404

Officer/Director/Trustee Four

ELIZABETH WARREN
SECRETARY
1997 ST RT 270 WEST
CLAY KY 42404

Officer/Director/Trustee Five

TRINA MESSAMORE
PROVIDENCE REPRESENTATIVE
4525 ST RT 120 WEST
PROVIDENCE KY 42450

Organization’s website N/A
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 8/29/2017
Organization Incorporation State KY
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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