FORM 1023-EZ for HOOPS FOR ADAM INC

Field Data
EIN 46-5045491
Case Number EO-2015040-000404
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name HOOPS FOR ADAM INC
Organization’s Mailing Address 4269 THOMPSON MILL ROAD
City BUFORD
State GA
ZIP 30519-3739
Accounting period End 12
Primary contact name ALLISON BRYANT
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

ALLISON BRYANT
REGISTERED AGENT
4269 THOMPSON MILL ROAD
BUFORD GA 30519-3739

Organization’s website WWW.HOOPSFORADAM.ORG
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 3/6/2014
Organization Incorporation State GA
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: No
Cruelty Prevention: No
Qualify For Exemption No
Legislation influence No
Compensation of Officer director trustee Yes
Donation of funds Yes
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
Signature Title
Signature Date

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