FORM 1023-EZ for LA SPORTS ACADEMY BASKETBALL

Field Data
EIN 47-2299031
Case Number EO-2015026-000165
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name LA SPORTS ACADEMY BASKETBALL
Organization’s Mailing Address 4242 GOVERMENT ST RM 201
City BATON ROUGE
State LA
ZIP 70806
Accounting period End 12
Primary contact name DEMOND LANG
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

EDWARD ROBINSON
DIRECTOR
1291 DEAN AVE
BATON ROUGE LA 70816

Officer/Director/Trustee Two

RAHUL MEHROTRA
PRESIDENT
224 PECAN MEADOW DR
BATON ROUGE LA 70816

Officer/Director/Trustee Three

EDRIENNE CORRY
SECRECTARY
17300 RENNES RD
PRAIRIEVILLE LA 70769

Officer/Director/Trustee Four

DARRYLE HURST
OFFICER/ MEMBER
41164 CLEARWATER AVE
GONZALES LA 70737

Officer/Director/Trustee Five

TINA FOUNTAIN
TREASURER
8004 ESSEN COVE DR
BATON ROUGE LA 70809

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 11/17/2014
Organization Incorporation State LA
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: Yes
Educational: Yes
Scientific: Yes
Literary: Yes
Public Safety: No
Amateur Sports: Yes
Cruelty Prevention: Yes
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 Yes
One Third Support Gifts No
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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