FORM 1023-EZ for YUKON REBOUND CLUB

Field Data
EIN 47-2794137
Case Number EO-2015062-000255
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name YUKON REBOUND CLUB
Organization’s Mailing Address 1777 S YUKON PARKWAY
City YUKON
State OK
ZIP 73099
Accounting period End 12
Primary contact name KRISTIN MARTIN
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

KRISTIN MARTIN
PRESIDENT
10625 NW 37TH ST
YUKON OK 73099

Officer/Director/Trustee Two

KWANTU CAMMON
VICE PRESIDENT
1777 S YUKON PARKWAY
YUKON OK 73099

Officer/Director/Trustee Three

ALISON BASLER
SECRETARY
1308 CAMELOT
YUKON OK 73099

Officer/Director/Trustee Four

SANDRA SCOUTEN
TREASURER
400 LAND RUN LANE
YUKON OK 73099

Organization’s website
Organization’s email YUKONREBOUNDCLUB@GMAIL.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 1/12/2015
Organization Incorporation State OK
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: 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 Yes
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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