FORM 1023-EZ for FAST BREAK BASKETBALL CLUB

Field Data
EIN 46-2600676
Case Number EO-2015175-000247
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name FAST BREAK BASKETBALL CLUB
Organization’s Mailing Address 2870 ROLLING HILLS DR
City CLEVELAND
State TN
ZIP 37312-2271
Accounting period End 4
Primary contact name CHARLES D CONDO
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

CHARLES CONDO
PRESIDENT
2870 ROLLING HILLS DR NW
CLEVELAND TN 37312-2271

Officer/Director/Trustee Two

SCOTT KRESS
SECRETARY
5153 LOGAN RD
CLEVELAND TN 37312-2271

Officer/Director/Trustee Three

PAUL DAVIS
DIRECTOR
772 1ST STREET NE
CLEVELAND TN 37311

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 4/22/2013
Organization Incorporation State TN
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code N62 - Basketball
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 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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