FORM 1023-EZ for VALDEZ YOUTH BASKETBALL INC

Field Data
EIN 92-0159908
Case Number EO-2014321-000352
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name VALDEZ YOUTH BASKETBALL INC
Organization’s Mailing Address PO BOX 3057
City VALDEZ
State AK
ZIP 99686
Accounting period End 12
Primary contact name AMBER COCKERHAM
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

TAMMY HOLMES
PRESIDENT
PO BOX 1070
VALDEZ AK 99686

Officer/Director/Trustee Two

HEATHER SEIBER
VICE PRESIDENT
PO BOX 3377
VALDEZ AK 99686

Officer/Director/Trustee Three

JAMIE MAYER
SECRETARY
PO BOX 2841
VALDEZ AK 99686

Officer/Director/Trustee Four

AMBER COCKERHAM
TREASURER
PO BOX 2283
VALDEZ AK 99686

Officer/Director/Trustee Five

CHRISTINE AUBLE
PUBLIC RELATIONS
PO BOX 3194
VALDEZ AK 99686

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 5/28/1996
Organization Incorporation State AK
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code N12 - Fund Raising and/or Fund Distribution
Organization’s purpose Charitable: Yes
Religious: No
Educational: Yes
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 Yes
One Third Support Gifts No
Benefit of College No
Private Foundation 508(e) No
Seeking Retroactive Reinstatement No
Seeking Section 7 Reinstatement Yes
Correctness Declaration Yes
Signature Name
Signature Title
Signature Date

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