FORM 1023-EZ for 5-ELEVEN HOOPS

Field Data
EIN 81-3072311
Case Number EO-2019259-000251
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name 5-ELEVEN HOOPS
Organization’s Mailing Address 7906 EAST TARMA STREET
City LONG BEACH
State CA
ZIP 90808-3140
Accounting period End 12
Primary contact name STACY MCALISTER
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

STACY MCALISTER
PRESIDENT/CEO
7906 EAST TARMA STREET
LONG BEACH CA 90808-3140

Officer/Director/Trustee Two

CASSANDRA MCALISTER
DIRECTOR AND TREASURER/CFO
7906 EAST TARMA STREET
LONG BEACH CA 90808-3140

Officer/Director/Trustee Three

MERVINE BROWN
SECRETARY
6010 S SHERBOURNE DR
LOS ANGELES CA 90056-1446

Officer/Director/Trustee Four

RILEY SIMMONS
DIRECTOR
5991 NW 16TH PLACE APT 3
SUNRISE FL 33313-4750

Officer/Director/Trustee Five

ADRIENNE REED
DIRECTOR
15794 SMOKETREE LANE
FONTANA CA 92337-1087

Organization’s website
Organization’s email 5ELEVENHOOPS@GMAIL.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 7/5/16
Organization Incorporation State CA
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code G84 - Autism
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 Yes
Donation of funds Yes
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 STACY MCALISTER
Signature Title PRESIDENT/CEO
Signature Date 9/10/19
EIN 81-3072311
Case Number EO-2017146-000080
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name 5-ELEVEN HOOPS
Organization’s Mailing Address 7906 EAST TARMA STREET
City LONG BEACH
State CA
ZIP 90808-3140
Accounting period End 12
Primary contact name STACY MCALISTER
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

STACY MCALISTER
PRESIDENT/CEO AND SECRETARY
7906 EAST TARMA STREET
LONG BEACH CA 90808-3140

Officer/Director/Trustee Two

CASSANDRA MCALISTER
DIRECTOR AND TREASURER/CFO
7906 EAST TARMA STREET
LONG BEACH CA 90808-3140

Officer/Director/Trustee Three

RILEY SIMMONS
DIRECTOR
5991 NW 16TH PLACE APT 3
SUNRISE FL 33313-4750

Officer/Director/Trustee Four

ADRIENNE REED
DIRECTOR
15794 SMOKETREE LANE
FONTANA CA 92337-1087

Organization’s website
Organization’s email 5ELEVENHOOPS@GMAIL.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 7/5/2016
Organization Incorporation State CA
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code G84 - Autism
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 Yes
Donation of funds Yes
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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