FORM 1023-EZ for BASIS PHOENIX PRIMARY BOOSTER CLUB

Field Data
EIN 83-1354476
Case Number EO-2018234-000186
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name BASIS PHOENIX PRIMARY BOOSTER CLUB
Organization’s Mailing Address 10930 N TATUM BLVD SUITE C 100
City PHOENIX
State AZ
ZIP 85028
Accounting period End 6
Primary contact name CARRIE WILCOX
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

CARRIE WILCOX
PRESIDENT
9225 N ARROYA VISTA DR W
PHOENIX AZ 85028

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 7/26/18
Organization Incorporation State AZ
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code B11 - Single Organization Support
Organization’s purpose Charitable: No
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 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 CARRIE WILCOX
Signature Title PRESIDENT
Signature Date 8/20/18

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