FORM 1023-EZ for RANDOLPH YOUTH BASKETBALL INC

Field Data
EIN 27-2666040
Case Number EO-2016033-000245
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name RANDOLPH YOUTH BASKETBALL INC
Organization’s Mailing Address PO BOX 7 CARE OF COMPUCOUNT
City RANDOLPH
State VT
ZIP 05060
Accounting period End 12
Primary contact name DAVID WHITE
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

KAREN COLBY
DIRECTOR, PRESIDENT
3449 SOUTH RANDOLPH RD
RANDOLPH CENTER VT 05061

Officer/Director/Trustee Two

DAVID WHITE
DIRECTOR, TREASURER
1812 ROGERS ROAD
RANDOLPH CENTER VT 05061

Officer/Director/Trustee Three

CHELSEA SPRAGUE
DIRECTOR, VICE PRESIDENT
6907 VT RT 14
BROOKFIELD VT 05036

Officer/Director/Trustee Four

ASHLEY LINCOLN
DIRECTOR, SECRETARY
4884 E BETHEL ROAD
RANDOLPH CENTER VT 05061

Organization’s website
Organization’s email DAVIDAUSTINWHITE@GMAIL.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 8/6/2010
Organization Incorporation State VT
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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