FORM 1023-EZ for NOT YOUR AVERAGE BASKETBALL CAMP

Field Data
EIN 84-1805126
Case Number EO-2019269-000155
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name NOT YOUR AVERAGE BASKETBALL CAMP
Organization’s Mailing Address 3316 REYNOLDS AVE
City LOS ANGELES
State CA
ZIP 90032-1841
Accounting period End 12
Primary contact name JADENE TAMURA
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

RYAN LEE
DIRECTOR, PRESIDENT
3316 REYNOLDS AVE
LOS ANGELES CA 90032-1841

Officer/Director/Trustee Two

CURTIS TAKIMOTO
DIRECTOR, SECRETARY, CFO
3316 REYNOLDS AVE
LOS ANGELES CA 90032-1841

Officer/Director/Trustee Three

LYNNE HIGASHIGAWA
DIRECTOR
3316 REYNOLDS AVE
LOS ANGELES CA 90032-1841

Officer/Director/Trustee Four

MATTHEW JOHN
DIRECTOR
3316 REYNOLDS AVE
LOS ANGELES CA 90032-1841

Officer/Director/Trustee Five

DARIN NAKAUCHI
DIRECTOR
3316 REYNOLDS AVE
LOS ANGELES CA 90032-1841

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 8/21/18
Organization Incorporation State CA
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code N20 - Recreational and Sporting Camps
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 Yes
Benefit of College No
Private Foundation 508(e) No
Seeking Retroactive Reinstatement No
Seeking Section 7 Reinstatement No
Correctness Declaration Yes
Signature Name RYAN LEE
Signature Title DIRECTOR, PRESIDENT
Signature Date 9/24/19

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