FORM 1023-EZ for PROVISION SPORTS

Field Data
EIN 83-2046463
Case Number EO-2018302-000563
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name PROVISION SPORTS
Organization’s Mailing Address 17156 WEST ECHO LANE
City WADDELL
State AZ
ZIP 85355
Accounting period End 6
Primary contact name KESHA GIBBS
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

KESHA GIBBS
DIRECTOR
17156 WEST ECHO LANE
WADDELL AZ 85355

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 7/27/18
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: 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 Yes
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 KESHA GIBBS
Signature Title DIRECTOR
Signature Date 10/26/18

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