FORM 1023-EZ for WARRIORS YOUTH BASKETBALL INC

Field Data
EIN 84-3888210
Case Number EO-2019345-000351
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name WARRIORS YOUTH BASKETBALL INC
Organization’s Mailing Address 110 HUSEMAN RD
City CAMPBELL HILL
State IL
ZIP 62916
Accounting period End 12
Primary contact name JOSHUA BROWN
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

JOSHUA BROWN
PRESIDENT
110 HUSEMAN RD
CAMPBELL HILL IL 62916

Officer/Director/Trustee Two

AMY BROWN
DIRECTOR
110 HUSEMAN RD
CAMPBELL HILL IL 62916

Officer/Director/Trustee Three

NATHAN FIENE
DIRECTOR
5558 ROCKCASTLE RD
STEELEVILLE IL 62288

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 12/5/2019
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: No
Religious: No
Educational: Yes
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 JOSHUA BROWN
Signature Title PRESIDENT
Signature Date 12/9/2019

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