FORM 1023-EZ for NORTHWEST BASKETBALL ACADEMY

Field Data
EIN 81-1845729
Case Number EO-2018066-000295
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name NORTHWEST BASKETBALL ACADEMY
Organization’s Mailing Address 21010 WOODLAKE DR
City EDMONDS
State WA
ZIP 98026-6956
Accounting period End 12
Primary contact name DUANE HODGES
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

DUANE HODGES
PRESIDENT
21010 WOODLAKE DR
EDMONDS WA 98026-6956

Officer/Director/Trustee Two

ERIC DICKENSON
SECRETARY
21020 PIONEER WAY
EDMONDS WA 98026-6956

Organization’s website WWW.NWBASKETBALLACADEMY.COM
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 3/16/16
Organization Incorporation State WA
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 Yes
Donation of funds Yes
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 DUANE HODGES
Signature Title PRESIDENT
Signature Date 3/5/18

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