FORM 1023-EZ for WALDEN GROVE BASKETBALL BOOSTER

Field Data
EIN 84-4030279
Case Number EO-2020041-000294
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name WALDEN GROVE BASKETBALL BOOSTER
Organization’s Mailing Address 451 E PLACITA COSTANA
City SAHUARITA
State AZ
ZIP 85629
Accounting period End 12
Primary contact name AMY LYDEN
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

AMY LYDEN
TREASURER
451 E PLACITA COSTANA
SAHUARITA AZ 85629

Officer/Director/Trustee Two

NATE SHEHOW
PRESIDENT
15000 S CAMINO RIO PUERCO
SAHUARITA AZ 85629

Officer/Director/Trustee Three

TRACY JOHNSON
SECRETARY
143 E CALLE TIERRA SANDIA
SAHUARITA AZ 85629

Officer/Director/Trustee Four

RANDY CARABAJAL
VICE PRESIDENT
68 W CAMINO PRESIDIO QUEMADO
SAHUARITA AZ 85629

Organization’s website
Organization’s email
Organization Incorporated No
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 12/19/2019
Organization Incorporation State AZ
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code N62 - Basketball
Organization’s purpose Charitable: No
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 Yes
Benefit of College No
Private Foundation 508(e) No
Seeking Retroactive Reinstatement No
Seeking Section 7 Reinstatement No
Correctness Declaration Yes
Signature Name AMY LYDEN
Signature Title TREASURER
Signature Date 2/6/2020

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