FORM 1023-EZ for KG BASKETBALL INC

Field Data
EIN 82-5159570
Case Number EO-2018106-000992
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name KG BASKETBALL INC
Organization’s Mailing Address 155 WILLOW BROOK DRIVE
City ROSWELL
State GA
ZIP 30076
Accounting period End 12
Primary contact name SCOTT A ANDRESEN ESQ
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

KIWANE GARRIS
PRESIDENT
155 WILLOW BROOK DRIVE
ROSWELL GA 30076

Officer/Director/Trustee Two

SYLEENA GARRIS
VICE PRESIDENT
155 WILLOW BROOK DRIVE
ROSWELL GA 30076

Officer/Director/Trustee Three

HARVELLE SMITH
DIRECTOR
2208 WALTON WAY
ROSWELL GA 30076

Officer/Director/Trustee Four

SHARI WELTON
DIRECTOR
3808 TREE CORNERS PKWY
NORCROSS GA 30092

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 2/12/18
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: 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 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 KIWANE GARRIS
Signature Title PRESIDENT
Signature Date 4/12/18

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