FORM 1023-EZ for BARTOW BLAZERS YOUTH BASKETBALL INC

Field Data
EIN 81-4948889
Case Number EO-2018057-000392
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name BARTOW BLAZERS YOUTH BASKETBALL INC
Organization’s Mailing Address 2980 COACH LAMP ROAD
City MULBERRY
State FL
ZIP 33860
Accounting period End 12
Primary contact name LEDARION JONES
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

LEDARION JONES
PRESIDENT
2980 COACH LAMP ROAD
MULBERRY FL 33860

Officer/Director/Trustee Two

HOWE WALLACE
TREASURE
1180 GEORGE STREET
BARTOW FL 33830

Officer/Director/Trustee Three

WEEDLENS BEAUVIL
VICE PRESIDENT
707 25TH STREET
WINTER HAVEN FL 33881

Officer/Director/Trustee Four

NIKKI JONES
SECRETARY
2980 COACH LAMP ROAD
MULBERRY FL 33860

Organization’s website
Organization’s email LD00DUNK@GMAIL.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 2/11/17
Organization Incorporation State FL
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code O99 - Youth Development N.E.C.
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 LEDARION JONES
Signature Title PRESIDENT
Signature Date 2/23/18

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