FORM 1023-EZ for CREEKSIDE BASKETBALL LEAGUE

Field Data
EIN 84-5087818
Case Number EO-2020134-000248
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name CREEKSIDE BASKETBALL LEAGUE
Organization’s Mailing Address 4239 GOSEY HILL RD
City FRANKLIN
State TN
ZIP 37064
Accounting period End 12
Primary contact name GAYLORD GARDNER
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

PHILLIP SKIPPER
PRESIDENT
159 WISE RD
FRANKLIN TN 37064

Officer/Director/Trustee Two

STACY DAVIDSON
TREASURER
168 CIRCUIT RD
FRANKLIN TN 37064

Officer/Director/Trustee Three

JEREMY PAIN
CHAIRPERSON
2031 RYECROFT LANE
FRANKLIN TN 37064

Officer/Director/Trustee Four

GAYLORD GARDNER
SECRETARY
279 IRVINE LN
FRANKLIN TN 37064

Organization’s website N/A
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 2/13/2020
Organization Incorporation State TN
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 Yes
One Third Support Gifts No
Benefit of College No
Private Foundation 508(e) No
Seeking Retroactive Reinstatement No
Seeking Section 7 Reinstatement No
Correctness Declaration Yes
Signature Name GAYLORD GARDNER
Signature Title SECRETARY
Signature Date 5/11/2020

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