FORM 1023-EZ for UNITY BALLERZ INC

Field Data
EIN 83-3862987
Case Number EO-2019105-000434
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name UNITY BALLERZ INC
Organization’s Mailing Address 4701 KENMORE AVENUE APT 804
City ALEXANDRIA
State VA
ZIP 22304
Accounting period End 12
Primary contact name TARSHA SITTON
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

KEITH SITTON
PRESIDENT
4701 KENMORE AVENUE APT 804
ALEXANDRIA VA 22304

Officer/Director/Trustee Two

TARSHA SITTON
VICE PRESIDENT
4701 KENMORE AVENUE APT 804
ALEXANDRIA VA 22304

Officer/Director/Trustee Three

WILLIAM DOUGLAS
VICE PRESIDENT
4701 KENMORE AVENUE APT 804
ALEXANDRIA VA 22304

Officer/Director/Trustee Four

LAVERNE ANDREWS-EDWARDS
TREASURER/SECRETARY
4701 KENMORE AVENUE APT 804
ALEXANDRIA VA 22304

Officer/Director/Trustee Five

LARRY FOX
BOARD MEMBER
4701 KENMORE AVENUE APT 804
ALEXANDRIA UT 22304

Organization’s website WWW.UNITYBALLERZ.COM
Organization’s email UNITYBALLERZ@GMAIL.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 3/28/19
Organization Incorporation State VA
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 KEITH SITTON
Signature Title PRESIDENT
Signature Date 4/12/19

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