FORM 1023-EZ for 9TH REGION BASKETBALL OFFICIALS ASSOCIATION INC

Field Data
EIN 46-4007394
Case Number EO-2020184-000260
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name 9TH REGION BASKETBALL OFFICIALS ASSOCIATION INC
Organization’s Mailing Address P O BOX 6550
City FLORENCE
State KY
ZIP 41042-6550
Accounting period End 12
Primary contact name GREG PETERSEN
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

TREVOR WELLBROCK
PRESIDENT
828 FLINT RIDGE
COLD SPRING KY 41076

Officer/Director/Trustee Two

SEAN KNOLLMAN
VICE PRESIDENT
517 GARDEN WAY
EDGEWOOD KY 41017

Officer/Director/Trustee Three

GREG PETERSEN
SERGENT-AT-ARMS
3434 MAPLE TREE LANE
ERLANGER KY 41018-1120

Officer/Director/Trustee Four

CODY RYAN
SECRETARY-TREASURER
24 OLD BEAVER ROAD
WALTON KY 41094

Officer/Director/Trustee Five

BOB COLE
PAST PRESIDENT
1141 INFANTRY DRIVE
INDEPENDENCE KY 41051

Organization’s website NA
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 10/31/2013
Organization Incorporation State KY
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: 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 GREG PETERSEN
Signature Title SERGENT-AT-ARMS
Signature Date 6/30/2020

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