FORM 1023-EZ for BASKETBALL TO UPLIFT THE YOUTH INC

Field Data
EIN 82-1178389
Case Number EO-2017135-000175
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name BASKETBALL TO UPLIFT THE YOUTH INC
Organization’s Mailing Address 9605 LAKE POINTE COURT APT 102
City UPPER MARLBORO
State MD
ZIP 20774
Accounting period End 12
Primary contact name DAVE FILS-AIME
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

DAVE FILS-AIME
CHIEF EXECUTIVE OFFICER
9605 LAKE POINTE COURT
UPPER MARLBORO MD 20774

Officer/Director/Trustee Two

MARY WOLDEGIORGIS
OFFICER
552 W 142ND ST APT 2
NEW YORK NY 10031

Officer/Director/Trustee Three

JEAN TALLEYRAND
OFFICER
3837 CASTLE CONNOR DR
RICHTON PARK IL 60471

Organization’s website HAITIBASKETBALL.ORG
Organization’s email INFO@HAITIBASKETBALL.ORG
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 4/13/2017
Organization Incorporation State DC
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code O50 - Youth Development Programs, Other
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 Yes
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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