FORM 1023-EZ for WEST CARROLLTON MORAINE BASKETBALL ASSOCIATION

Field Data
EIN 82-2848409
Case Number EO-2017292-000351
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name WEST CARROLLTON MORAINE BASKETBALL ASSOCIATION
Organization’s Mailing Address PO BOX 49644
City WEST CARROLLTON
State OH
ZIP 45449
Accounting period End 8
Primary contact name ANTHONY ALLEN
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

ANTHONY ALLEN
PRESIDENT
6255 RIVERCLIFF LANE
DAYTON OH 45449

Officer/Director/Trustee Two

RICO WARD
VICE PRESIDENT
766 ROYAL RIDGE DR APT A
WEST CARROLLTON OH 45449

Officer/Director/Trustee Three

CANDACE BARBOSA
SEC/TREAS
4619 DRUID LANE
DAYTON OH 45439

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 9/19/2017
Organization Incorporation State OH
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code N99 - Recreation, Sports, Leisure, Athletics N.E.C.
Organization’s purpose Charitable: Yes
Religious: No
Educational: No
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 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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