FORM 1023-EZ for GRASS VALLEY MAGIC BASKETBALL CLUB

Field Data
EIN 47-2820059
Case Number EO-2015062-000240
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name GRASS VALLEY MAGIC BASKETBALL CLUB
Organization’s Mailing Address PO BOX 2370
City NEVADA CITY
State CA
ZIP 95959
Accounting period End 6
Primary contact name RANDALL BILLINGSLEY
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

RANDALL BILLINGSLEY
PRESIDENT
PO BOX 2370
NEVADA CITY CA 95959

Officer/Director/Trustee Two

JOHN MCDANIEL
VICE PRESIDENT
PO BOX 37
PENN VALLEY CA 95946

Officer/Director/Trustee Three

JOHNSON NIKO
SECRETARY
PO BOX 868
CEDAR RIDGE CA 95924

Officer/Director/Trustee Four

JENNIFER KRILL
TREASURER
12360 GAYLE LANE
NEVADA CITY CA 95959

Organization’s website N/A
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 2/18/2015
Organization Incorporation State CA
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 Yes
Benefit of College No
Private Foundation 508(e) No
Seeking Retroactive Reinstatement No
Seeking Section 7 Reinstatement No
Correctness Declaration Yes
Signature Name
Signature Title
Signature Date

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