FORM 1023-EZ for DUVAL YOUTH BASKETBALL INCORPORATED

Field Data
EIN 83-3527435
Case Number EO-2019266-000475
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name DUVAL YOUTH BASKETBALL INCORPORATED
Organization’s Mailing Address 2338 OSPREY LAKE DR
City JACKSONVILLE
State FL
ZIP 32224
Accounting period End 1
Primary contact name PETER BRUNETTA
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

PETER BRUNETTA
PRESIDENT, BOARD OF DIRECTORS
2338 OSPREY LAKE DR
JACKSONVILLE FL 32224

Officer/Director/Trustee Two

BENJAMIN SOUTHERN
EXECUTIVE DIRECTOR
2338 OSPREY LAKE DR
JACKSONVILLE FL 32224

Officer/Director/Trustee Three

DAVID CRIBBS
TREASURER
4561 TREVI DR
JACKSONVILLE FL 32257

Officer/Director/Trustee Four

JUSTIN KING
BOARD MEMBER
352 CHESTNUT ST
ONEONTA NY 13820

Organization’s website HTTPS://DUVALDEVILS.COM
Organization’s email DUVALDEVILS904@GMAIL.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 1/28/19
Organization Incorporation State FL
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 Yes
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 BENJAMIN SOUTHERN
Signature Title EXECUTIVE DIRECTOR
Signature Date 9/20/19

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