FORM 1023-EZ for GRESHAM YOUTH BASKETBALL

Field Data
EIN 84-3870380
Case Number EO-2019340-000364
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name GRESHAM YOUTH BASKETBALL
Organization’s Mailing Address 4640 SW EQUESTRIAN DRIVE
City GRESHAM
State OR
ZIP 97080
Accounting period End 12
Primary contact name ERIK LYSLO
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

ERIK LYSLO
PRESIDENT
4640
GRESHAM OR 97080

Officer/Director/Trustee Two

KATRINA LYSLO
SECRETARY
4640 SW EQUESTRIAN DRIVE
GRESHAM OR 97080

Organization’s website
Organization’s email
Organization Incorporated No
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 10/1/2019
Organization Incorporation State OR
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 No
One Third Support Gifts No
Benefit of College No
Private Foundation 508(e) Yes
Seeking Retroactive Reinstatement No
Seeking Section 7 Reinstatement No
Correctness Declaration Yes
Signature Name KATRINA LYSLO
Signature Title SECRETARY
Signature Date 12/4/2019

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