FORM 1023-EZ for COCALICO YOUTH BASKETBALL

Field Data
EIN 82-3896409
Case Number EO-2018218-000506
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name COCALICO YOUTH BASKETBALL
Organization’s Mailing Address 209 EAST 6TH ST
City LITITZ
State PA
ZIP 17543
Accounting period End 12
Primary contact name THOMAS GOSLING
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

THOMAS GOSLING
DIRECTOR
415 GREENVILLE RD
DEVNER PA 17517

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 1/1/18
Organization Incorporation State PA
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: 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 No
Benefit of College No
Private Foundation 508(e) Yes
Seeking Retroactive Reinstatement No
Seeking Section 7 Reinstatement No
Correctness Declaration Yes
Signature Name THOMAS GOSLING
Signature Title DIRECTOR
Signature Date 8/2/18

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