FORM 1023-EZ for CLUB NORTH BASKETBALL

Field Data
EIN 82-1780086
Case Number EO-2017160-000177
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name CLUB NORTH BASKETBALL
Organization’s Mailing Address 22532 LEYTE DRIVE
City TORRANCE
State CA
ZIP 90505
Accounting period End 12
Primary contact name KEITH PRENDERGAST
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

KEITH PRENDERGAST
HEAD COACH
22532 LEYTE DR
TORRANCE CA 90505

Organization’s website
Organization’s email KEITHPRENDERGAST@GMAIL.COM
Organization Incorporated No
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 6/1/2017
Organization Incorporation State CA
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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