FORM 1023-EZ for EASTVIEW BASKETBALL ASSOCIATION

Field Data
EIN 81-4422242
Case Number EO-2018129-000175
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name EASTVIEW BASKETBALL ASSOCIATION
Organization’s Mailing Address 1508 SHERWOOD WAY
City EAGAN
State MN
ZIP 55123-3701
Accounting period End 12
Primary contact name THOMAS J MCINERNEY
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

DEREK BISHOP
PROGRAM DIRECTOR
1508 SHERWOOD WAY
EAGAN MN 55122

Officer/Director/Trustee Two

NICK EHRMAN
DIRECTOR
4765 BURR OAK
EAGAN MN 55122

Officer/Director/Trustee Three

MARK HERUTH
DIRECTOR
13100 FERRIS COURT
APPLE VALLEY MN 55124

Officer/Director/Trustee Four

JASON HOFFMAN
DIRECTOR
5855 149TH ST W
APPLE VALLEY MN 55124

Officer/Director/Trustee Five

TAMMY WEIGEL
DIRECTOR
7728 128TH ST W
APPLE VALLEY MN 55124

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 11/15/16
Organization Incorporation State MN
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: 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 DEREK BISHOP
Signature Title PROGRAM DIRECTOR
Signature Date 4/29/18

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