FORM 1023-EZ for SOUTHPORT BASKETBALL CLUB INC

Field Data
EIN 84-2869238
Case Number EO-2019247-000194
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name SOUTHPORT BASKETBALL CLUB INC
Organization’s Mailing Address 567 N EMERSON AVENUE
City GREENWOOD
State IN
ZIP 46143-6695
Accounting period End 12
Primary contact name JAMES H HERNANDEZ
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

ERIC BRAND
CHAIRPERSON
4940 MCFARLAND ROAD
INDIANAPOLIS IN 46227

Officer/Director/Trustee Two

JORDAN DEVER
BOARD MEMBER
5803 TWIN RIVER LANE
INDIANAPOLIS IN 46239

Officer/Director/Trustee Three

MARK PIEPER
BOARD MEMBER
7820 WHITAKER VALLEY BOULEVARD
INDIANAPOLIS IN 46237

Officer/Director/Trustee Four

JODY MATTHEWS
BOARD MEMBER
1511 SOUTHCOURT DRIVE
INDIANAPOLIS IN 46227

Officer/Director/Trustee Five

BRIAN MURPHY
BOARD MEMBER
841 NOBLE STREET
INDIANAPOLIS IN 46203

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 8/5/19
Organization Incorporation State IN
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: 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 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 ERIC BRAND
Signature Title CHAIRPERSON
Signature Date 9/2/19

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