FORM 1023-EZ for NILES LADY BACKCOURT BOOSTERS

Field Data
EIN 34-1938523
Case Number EO-2016138-000162
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name NILES LADY BACKCOURT BOOSTERS
Organization’s Mailing Address 929 CYNTHIA COURT
City NILES
State OH
ZIP 44446-2742
Accounting period End 4
Primary contact name DOUG BAKER OR DEE DELLINGER
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

DOUG BAKER
PRESIDENT
929 CYNTHIA COURT
NILES OH 44446-2742

Officer/Director/Trustee Two

TRACY RAGAZINO
VICE-PRESIDENT
238 CASSANDRA DRIVE
NILES OH 44446-2037

Officer/Director/Trustee Three

DEE DELLINGER
SECRETARY/TREASURER
120 WILSON AVE
NILES OH 44446-1931

Organization’s website NILESCITYSCHOOLS.ORG
Organization’s email DADELL729@GMAIL.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 3/28/2014
Organization Incorporation State OH
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: 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 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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