FORM 1023-EZ for SYBA INC

Field Data
EIN 46-5515589
Case Number EO-2014325-000224
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name SYBA INC
Organization’s Mailing Address 806 LAPOINT DRIVE SE
City STEWARTVILLE
State MN
ZIP 55976
Accounting period End 12
Primary contact name DORIE BYRNE
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

BERNIE THEOBALD
DIRECTOR
30787 143RD AVE
SPRING VALLEY MN 55975

Officer/Director/Trustee Two

MIKE SCHINDLER
BOYS DIRECTOR OF BASKETBALL
806 LAPOINT DRIVE SE
STEWARTVILLE MN 55976

Officer/Director/Trustee Three

DORIE BYRNE
TREASURER
5218 SOUTHERN RIDGE LN SW
ROCHESTER MN 55902

Officer/Director/Trustee Four

MICHELE BURI
SECTRETARY
29299 770TH AVENUE
RACINE MN 55967

Officer/Director/Trustee Five

LORI VANDEWALKER
GIRLS DIRECTOR OF BASKETBALL
32460 111TH AVENUE
STEWARTVILLE MN 55976

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 3/17/2014
Organization Incorporation State MN
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 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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