FORM 1023-EZ for NORWALK YOUTH BASKETBALL ASSOCIATION

Field Data
EIN 83-1641627
Case Number EO-2018235-000340
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name NORWALK YOUTH BASKETBALL ASSOCIATION
Organization’s Mailing Address 9210 HAPPY HOLLOW DRIVE
City NORWALK
State IA
ZIP 50211
Accounting period End 8
Primary contact name TONY BIRMINGHAM
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

TONY BIRMINGHAM
PRESIDENT
1807 SWAN CIRCLE
NORWALK IA 50211

Officer/Director/Trustee Two

BRETT CERMAK
VICE PRESIDENT
1023 NORWOOD COURT
NORWALK IA 50211

Officer/Director/Trustee Three

JEFF TRAVIS
TREASURER
121 WEST PINE AVENUE
NORWALK IA 50211

Officer/Director/Trustee Four

ANN GARVEY
SECRETARY
1001 NORWOOD COURT
NORWALK IA 50211

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 8/20/18
Organization Incorporation State IA
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code O50 - Youth Development Programs, Other
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 ANN GARVEY
Signature Title SECRETARY
Signature Date 8/21/18

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