FORM 1023-EZ for RANDOLPH COUNTY LIGHTNING TRAVEL BASKETBALL TEAM

Field Data
EIN 84-4707452
Case Number EO-2020072-000376
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name RANDOLPH COUNTY LIGHTNING TRAVEL BASKETBALL TEAM
Organization’s Mailing Address 73 GATE LANE
City ELKINS
State WV
ZIP 26241
Accounting period End 12
Primary contact name AMY N LAMBERT
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

AMY LAMBERT
VICE PRESIDENT
73 GATE
ELKINS WV 26241

Officer/Director/Trustee Two

KENNETH GUMM
PRESIDENT
42 SWANS WAY
MILL CREEK WV 26280

Officer/Director/Trustee Three

JACKIE CUTLIP
TREASURER
153 GATE LANE
ELKINS WV 26241

Officer/Director/Trustee Four

JUSTINA LOUK
SECRETARY
678 GRASSLICK RUN
MONTROSE WV 26283

Organization’s website
Organization’s email
Organization Incorporated No
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 2/19/2020
Organization Incorporation State WV
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 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 Yes
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 AMY LAMBERT
Signature Title VICE PRESIDENT
Signature Date 3/10/2020

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