FORM 1023-EZ for EASTLAKE YOUTH BASKETBALL INC

Field Data
EIN 82-1794635
Case Number EO-2017163-000209
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name EASTLAKE YOUTH BASKETBALL INC
Organization’s Mailing Address 36615 VINE STREET SUITE 102
City WILLOUGHBY
State OH
ZIP 44094
Accounting period End 12
Primary contact name DANE FRASURE
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

DANE FRASURE
PRESIDENT
1135 E 377TH STREET
EASTLAKE OH 44095

Officer/Director/Trustee Two

ERIK MARSCH
VICE PRESIDENT
183 PAXTON ROAD
EASTLAKE OH 44095

Officer/Director/Trustee Three

DOUG BUCY
TREASURER
34765 ROBERTS ROAD
EASTLAKE OH 44095

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 10/22/2016
Organization Incorporation State OH
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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