FORM 1023-EZ for PORT LAVACA HEAT BASKETBALL ORGANIZATION

Field Data
EIN 20-8476742
Case Number EO-2019107-000229
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name PORT LAVACA HEAT BASKETBALL ORGANIZATION
Organization’s Mailing Address 248 PARK ROAD
City PORT LAVACA
State TX
ZIP 77979
Accounting period End 12
Primary contact name ERIN CLEVENGER
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

ROCKY RODRIGUEZ
PRESIDENT
706 BROOKHOLLOW DR
PORT LAVACA TX 77979

Officer/Director/Trustee Two

RONNIE VILLEGAS
VICE PRESIDENT
248 PARK RD
PORT LAVACA TX 77979

Officer/Director/Trustee Three

LAVON GARCIA
SECRETARY
45 HACKBERRY
PORT LAVACA TX 77979

Officer/Director/Trustee Four

ERIN CLEVENGER
TREASURER
248 PARK RD
PORT LAVACA TX 77979

Organization’s website
Organization’s email
Organization Incorporated No
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 3/30/17
Organization Incorporation State TX
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code N62 - Basketball
Organization’s purpose Charitable: Yes
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 No
Benefit of College No
Private Foundation 508(e) Yes
Seeking Retroactive Reinstatement No
Seeking Section 7 Reinstatement No
Correctness Declaration Yes
Signature Name ERIN CLEVENGER
Signature Title TREASURER
Signature Date 4/15/19

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