FORM 1023-EZ for NORTHWEST LADY VIKINGS BASKETBALL BOOSTERS INC

Field Data
EIN 46-3892585
Case Number EO-2016068-000228
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name NORTHWEST LADY VIKINGS BASKETBALL BOOSTERS INC
Organization’s Mailing Address 3209 CHESWICK DRIVE
City GREENSBORO
State NC
ZIP 27410
Accounting period End 6
Primary contact name SCOTT V MCCAIN
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

JOSEPH MOORE
PRESIDENT
5420 NORTHWEST SCHOOL ROAD
GREENSBORO NC 27409

Officer/Director/Trustee Two

BRIAN NEAS
VICE-PRESIDENT
5420 NORTHWEST SCHOOL ROAD
GREENSBORO NC 27409

Officer/Director/Trustee Three

NANCY BARBER
TREASURER
5420 NORTHWEST SCHOOL ROAD
GREENSBORO NC 27409

Officer/Director/Trustee Four

SHARON BENTON
SECRETARY
5420 NORTHWEST SCHOOL ROAD
GREENSBORO NC 27409

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 11/16/2015
Organization Incorporation State NC
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 No
Seeking Section 7 Reinstatement No
Correctness Declaration Yes
Signature Name
Signature Title
Signature Date

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