FORM 1023-EZ for APOLLOS GIRLS YOUTH BASKETBALL

Field Data
EIN 82-2721435
Case Number EO-2017254-000097
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name APOLLOS GIRLS YOUTH BASKETBALL
Organization’s Mailing Address 4559 NW SILVERLEAF DR
City PORTLAND
State OR
ZIP 97229
Accounting period End 12
Primary contact name JIM GUSE
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

EVANGELINE PATTERSON
PRESIDENT
4559 NW SILVERLEAF DR
PORTLAND OR 97229

Officer/Director/Trustee Two

TODD HUTTON
VICE PRESIDENT
4531 NW 147TH
PORTLAND OR 97229

Officer/Director/Trustee Three

KIM VEENHUIS
TREASURER
10901 NW LUCERNE CT
PORTLAND OR 97229

Officer/Director/Trustee Four

JIM GUSE
SECRETARY
11328 NW ODEON LN
PORTLAND OR 97229

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 9/22/2016
Organization Incorporation State OR
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: 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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