FORM 1023-EZ for TB 21 HOOPS BASKETBALL ACADEMY
| Field | Data |
|---|---|
| EIN | 81-4792908 |
| Case Number | EO-2017012-000443 |
| Form 1023-EZ version | 62014 |
| Eligibility Worksheet | 1 |
| Organization Name | TB 21 HOOPS BASKETBALL ACADEMY |
| Organization’s Mailing Address | 1919 W 10TH STREET APT 29 |
| City | LAKELAND |
| State | FL |
| ZIP | 33805 |
| Accounting period End | 12 |
| Primary contact name | TIFFANY BERRIEN |
| Primary contact phone | [Hidden] |
| Primary contact phone extension | [Hidden] |
| Primary contact fax | [Hidden] |
| User fee submitted | $275.00 |
Officer/Director/Trustee One
TIFFANY BERRIEN
PRESIDENT
1919 WEST 10TH STREET APT 29
LAKELAND FL 33805
Officer/Director/Trustee Two
NATALIE STEPHENS
VICE PRESIDENT
1825 FOREST HILL DRIVE
BARTOW FL 33830
Officer/Director/Trustee Three
KIMBERLY BERRIEN
TREASURER
1733 BLOSSOM CIRCLE WEST
LAKELAND FL 33805
Officer/Director/Trustee Four
GREGORY RADFORD
MARKETING DIRECTOR
PO BOX 1243
BARTOW FL 33831
Officer/Director/Trustee Five
KENDRICK STEWART
YOUTH DEVELOPMENT CHAIR
1728 WALLACE MANOR LOOP
WINTER HAVEN FL 33880
| Organization’s website | |
|---|---|
| Organization’s email | BERRIEN.TIFFANY@YAHOO.COM |
| Organization Incorporated | No |
| Organization trust | No |
| Necessary Organizing Documents | Yes |
| Organization Incorporation Date | 1/1/2017 |
| Organization Incorporation State | FL |
| 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 | 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 | |
| Signature Title | |
| Signature Date |
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