FORM 1023-EZ for NEWPORT SELECT BOYS BASKETBALL CLUB

Field Data
EIN 45-5268658
Case Number EO-2015093-000266
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name NEWPORT SELECT BOYS BASKETBALL CLUB
Organization’s Mailing Address 7 NEWPORT KEY
City BELLEVUE
State WA
ZIP 98006
Accounting period End 6
Primary contact name SEAN THOMPSON
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

SEAN THOMPSON
TREASURER
7 NEWPORT KEY
BELLEVUE WA 98006

Officer/Director/Trustee Two

MELISSA GOLAN
SECRETARY
5012 120TH AVE SE
BELLEVUE WA 98006

Officer/Director/Trustee Three

JONATHAN MALTOS
PRESIDENT
6003 118TH AVE SE
BELLEVUE WA 98006

Officer/Director/Trustee Four

LEIGH-ANN KAKU
VICE PRESIDENT
4733 132ND AVE SE
BELLEVUE WA 98006

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 5/1/2012
Organization Incorporation State WA
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: 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 No
One Third Support Gifts Yes
Benefit of College No
Private Foundation 508(e) No
Seeking Retroactive Reinstatement Yes
Seeking Section 7 Reinstatement No
Correctness Declaration Yes
Signature Name
Signature Title
Signature Date

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