FORM 1023-EZ for UBUNTU HOOPS

Field Data
EIN 84-2416822
Case Number EO-2019199-000436
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name UBUNTU HOOPS
Organization’s Mailing Address 15734 SE SWIFT CT
City CLACKAMAS
State OR
ZIP 97015
Accounting period End 12
Primary contact name EVAN MUFFENBIER
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

EVAN MUFFENBIER
PRESIDENT
15734 SE SWIFT CT
CLACKAMAS OR 97015

Officer/Director/Trustee Two

SHANE ADAMS
VICE PRESIDENT
210 W 4TH ST
MOLALLA OR 97038

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 7/16/19
Organization Incorporation State OR
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: Yes
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 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 EVAN MUFFENBIER
Signature Title PRESIDENT
Signature Date 7/16/19

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