FORM 1023-EZ for NATIONAL JUNIOR BASKETBALL OF FLAGSTAFF INC

Field Data
EIN 83-2028806
Case Number EO-2018273-000188
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name NATIONAL JUNIOR BASKETBALL OF FLAGSTAFF INC
Organization’s Mailing Address PO BOX 2732
City FLAGSTAFF
State AZ
ZIP 86003
Accounting period End 7
Primary contact name CRAIG EDSON
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

CHER HAS NO HORSE
BOARD MEMBER
4885 E TRAILS END DRIVE
FLAGSTAFF AZ 86004

Officer/Director/Trustee Two

KELLY JANECEK
BOARD MEMBER
1051 W BEAL ROAD
FLAGSTAFF AZ 86001

Officer/Director/Trustee Three

MISTI WARNER
BOARD MEMBER
712 WEST OLD TERRITORY TRAIL
FLAGSTAFF AZ 86005

Officer/Director/Trustee Four

STEVE PADILLA
BOARD MEMBER
3851 S WAGON TRAIL
FLAGSTAFF AZ 86005

Officer/Director/Trustee Five

SEREN MUTZ
BOARD MEMBER
1230 S LONE TREE ROAD
FLAGSTAFF AZ 86001

Organization’s website HTTP://WWW.FLAGSTAFF-NJB.COM/
Organization’s email FLAGSTAFFNJB@GMAIL.COM
Organization Incorporated No
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 1/1/84
Organization Incorporation State AZ
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 Yes
Seeking Section 7 Reinstatement No
Correctness Declaration Yes
Signature Name KELLY JANECEK
Signature Title BOARD MEMBER
Signature Date 9/26/18

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