FORM 1023-EZ for VC BC FIREBALLS BASKETBALL ASSOC

Field Data
EIN 83-1520164
Case Number EO-2018242-000104
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name VC BC FIREBALLS BASKETBALL ASSOC
Organization’s Mailing Address 11421 13TH ST SE
City DAZEY
State ND
ZIP 58429
Accounting period End 12
Primary contact name MARIA REIDMAN
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

MARIA REIDMAN
SECRETARY/TREASURER
11421 13TH ST SE
DAZEY ND 58429

Officer/Director/Trustee Two

JODY MULDER
MANAGING MEMBER
735 3RD AVE NE
VALLEY CITY ND 58072

Officer/Director/Trustee Three

BENJAMIN LOKKEN
MANAGING MEMBER
PO BOX 244
VALLEY CITY ND 58072

Organization’s website
Organization’s email
Organization Incorporated No
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 8/10/18
Organization Incorporation State ND
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: No
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 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 Yes
One Third Support Gifts No
Benefit of College No
Private Foundation 508(e) No
Seeking Retroactive Reinstatement No
Seeking Section 7 Reinstatement No
Correctness Declaration Yes
Signature Name MARIA REIDMAN
Signature Title SECRETARY/TREASURER
Signature Date 8/28/18

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