FORM 1023-EZ for JUNIOR BISON BASKETBALL CLUB

Field Data
EIN 47-3624909
Case Number EO-2015103-000095
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name JUNIOR BISON BASKETBALL CLUB
Organization’s Mailing Address 2104 S 2ND AVE
City CHEYENNE
State WY
ZIP 82007
Accounting period End 4
Primary contact name ROBERT MARTINEZ
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

ROBERT MARTINEZ
PRESIDENT
2104 S 2ND AVE
CHEYENNE WY 82007

Officer/Director/Trustee Two

CANDACE HERRERRA
TREASURER
813 HILLCREST RD
CHEYENNE WY 82001

Officer/Director/Trustee Three

LEILA HARLAN
SECRTETARY
316 PATTON AVE
CHEYENNE WY 82007

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 4/2/2015
Organization Incorporation State WY
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 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
Signature Title
Signature Date

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