FORM 1023-EZ for BELTWAY BASKETBALL

Field Data
EIN 83-1930784
Case Number EO-2019029-000156
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name BELTWAY BASKETBALL
Organization’s Mailing Address 42007 PARIS GAP SQUARE
City ASHBURN
State VA
ZIP 20148-7547
Accounting period End 8
Primary contact name DAVID CONROW
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

DAVID CONROW
PRESIDENT
525 N POLLARD ST APT 407
ARLINGTON VA 22203-2121

Officer/Director/Trustee Two

DAWN CONROW
VICE PRESIDENT
42007 PARIS GAP SQUARE
ASHBURN VA 20148-7547

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 8/28/18
Organization Incorporation State VA
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: No
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 Yes
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 DAVID CONROW
Signature Title PRESIDENT
Signature Date 12/16/18

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