FORM 1023-EZ for EMMETSBURG YOUTH BASKETBALL ASSOCIATION

Field Data
EIN 83-1660877
Case Number EO-2018239-000501
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name EMMETSBURG YOUTH BASKETBALL ASSOCIATION
Organization’s Mailing Address 401 STATE STREET
City EMMETSBURG
State IA
ZIP 50536
Accounting period End 12
Primary contact name TODD R BUCHANAN
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

JENNIE MORTON
PRESIDENT, DIRECTOR
219 NORTH STATE STREET
EMMETSBURG IA 50536

Officer/Director/Trustee Two

MICHELLE THEESFIELD
SECRETARY, DIRECTOR
502 SUPERIOR STREET
EMMETSBURG IA 50536

Officer/Director/Trustee Three

LISA CARTER
TREASURER, DIRECTOR
401 STATE STREET
EMMETSBURG IA 50536

Officer/Director/Trustee Four

RYAN STOKES
DIRECTOR
4936 - 440TH STREET
MALLARD IA 50562

Officer/Director/Trustee Five

MIKE DUNLAP
DIRECTOR
304 LAWLER STREET
EMMETSBURG IA 50536

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 8/22/18
Organization Incorporation State IA
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: 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 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 LISA CARTER
Signature Title TREASURER, DIRECTOR
Signature Date 8/23/18

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