FORM 1023-EZ for GIRLS BASKETBALL BOOSTERS

Field Data
EIN 46-5532316
Case Number EO-2019133-000286
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name GIRLS BASKETBALL BOOSTERS
Organization’s Mailing Address 1 LUMBERJACK LANE
City PINE GROVE
State WV
ZIP 26419
Accounting period End 12
Primary contact name LAURIE DALLISON
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

JOSH BATES
PRESIDENT
1 LUMBERJACK LANE
PINE GROVE WV 26419

Officer/Director/Trustee Two

KELLI JO LLOYD
VICE-PRESIDENT
1 LUMBERJACK LANE
PINE GROVE WV 26419

Officer/Director/Trustee Three

AMANDA HENDERSHOT
SECRETARY
1 LUMBERJACK LANE
PINE GROVE WV 26419

Officer/Director/Trustee Four

LAURIE DALLISON
TREASURER
1 LUMBERJACK LANE
PINE GROVE WV 26419

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 11/7/18
Organization Incorporation State WV
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: No
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 Yes
One Third Support Gifts No
Benefit of College No
Private Foundation 508(e) No
Seeking Retroactive Reinstatement No
Seeking Section 7 Reinstatement No
Correctness Declaration Yes
Signature Name LAURIE DALLISON
Signature Title TREASURER
Signature Date 5/9/19

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