FORM 1023-EZ for LATINO BASKETBALL ASSOCIATION

Field Data
EIN 87-2355839
Case Number EO-2021250-000521
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name LATINO BASKETBALL ASSOCIATION
Organization’s Mailing Address 2304 SW 41ST STREET
City OKLAHOMA CITY
State OK
ZIP 73119
Accounting period End 12
Primary contact name MICHAEL COZART
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

CARLOS URBINA
PRESIDENT & CEO
2304 SW 41ST STREET
OKLAHOMA CITY OK 73119

Officer/Director/Trustee Two

PRINCESS VEGA
SECRETARY
8332 S VILLA AVENUE
OKLAHOMA CITY OK 73159

Officer/Director/Trustee Three

ALONSO FAVELA
BOARD MEMBER
2600 NW 5TH ST
NEWCASTLE OK 73065

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 8/25/2021
Organization Incorporation State OK
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code O50 - Youth Development Programs, Other
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 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 CARLOS URBINA
Signature Title PRESIDENT & CEO
Signature Date 9/3/2021

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