FORM 1023-EZ for SULLIVAN BASKETBALL ACADEMY INC

Field Data
EIN 47-3751814
Case Number EO-2015177-000225
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name SULLIVAN BASKETBALL ACADEMY INC
Organization’s Mailing Address 197 HELEN STREET 2ND FL
City HAMDEN
State CT
ZIP 06514
Accounting period End 12
Primary contact name TYRESE SULLIVAN
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

TYRESE SULLIVAN
PRESIDENT
197 HELEN STREET 2ND FL
HAMDEN CT 06514

Officer/Director/Trustee Two

MICHELLE SEPULVEDA
TREASURER
197 HELEN STREET 2ND FL
HAMDEN CT 06514

Officer/Director/Trustee Three

KERMIT CAROLINA
SECRETARY
197 HELEN STREET 2ND FL
HAMDEN CT 06514

Officer/Director/Trustee Four

CECIL SUTTON
DIRECTOR
197 HELEN STREET 2ND FL
HAMDEN CT 06514

Organization’s website
Organization’s email SULLIVAN.ACADEMY@AOL.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 4/9/2015
Organization Incorporation State CT
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code N70 - Amateur Sports Competitions
Organization’s purpose Charitable: Yes
Religious: No
Educational: Yes
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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