FORM 1023-EZ for SAM WAISBREN MEMORIAL BASKETBALL PROGRAM
| Field | Data |
|---|---|
| EIN | 84-4325072 |
| Case Number | EO-2020034-000164 |
| Form 1023-EZ version | 12018 |
| Eligibility Worksheet | 1 |
| Organization Name | SAM WAISBREN MEMORIAL BASKETBALL PROGRAM |
| Organization’s Mailing Address | 8172 N GRAY LOG LANE |
| City | FOX POINT |
| State | WI |
| ZIP | 53217 |
| Accounting period End | 12 |
| Primary contact name | CHARLES WAISBREN MD |
| Primary contact phone | [Hidden] |
| Primary contact phone extension | [Hidden] |
| Primary contact fax | [Hidden] |
| User fee submitted | $275.00 |
Officer/Director/Trustee One
CHARLES WAISBREN
PRESIDENT
8172 N GRAY LOG LANE
MILWAUKEE WI 53217-2346
Officer/Director/Trustee Two
HARRY WAISBREN
VICE PRESIDENT
16 W 16TH STREET APT 4TN
NEW YORK NY 10011-6328
Officer/Director/Trustee Three
LAURA WAISBREN
TREASURER
8172 N GRAY LOG LANE
FOX POINT WI 53217-2346
Officer/Director/Trustee Four
ALISIA MOUTRY
MEMBER
10910 W MEADOW CREEK CT
MILWAUKEE WI 53224-5041
Officer/Director/Trustee Five
CARRIE SGARLATA
MEMBER
14730 JUNEAU BLVD
ELM GROVE WI 53122-1670
| Organization’s website | HTTPS://WWW.SWBBALL.COM/ |
|---|---|
| Organization’s email | |
| Organization Incorporated | Yes |
| Organization trust | No |
| Necessary Organizing Documents | Yes |
| Organization Incorporation Date | 11/14/2019 |
| Organization Incorporation State | WI |
| Contains Limitation | Yes |
| Does not expressly empower | Yes |
| Contains dissolution | Yes |
| National Taxonomy of Exempt Entities (NTEE) code | O99 - Youth Development N.E.C. |
| Organization’s purpose | Charitable: No 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 | CHARLES WAISBREN |
| Signature Title | PRESIDENT |
| Signature Date | 1/30/2020 |
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