FORM 1023-EZ for CREEK BALLERZ INC

Field Data
EIN 82-3908981
Case Number EO-2020002-000324
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name CREEK BALLERZ INC
Organization’s Mailing Address 22632 BLUE FIN TRAIL
City BOCA RATON
State FM
ZIP 33428
Accounting period End 12
Primary contact name DEXTER LAMONT
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

DEBRA RAMOS
PRESIDENT
22632 BLUE FIN TRAIL
BOCA RATON FL 33428

Officer/Director/Trustee Two

BRYANT KELLY
VICE PRESIDENT / TREASURER
22632 BLUE FIN TRAIL
BOCA RATON FL 33428

Officer/Director/Trustee Three

DEXTER LAMONT
VICE PRESIDENT / OPERATIONS
22632 BLUE FIN TRAIL
BOCA RATON FL 33428

Organization’s website DEXTER_LAMONT2002@YAHOO.COM
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 1/17/2018
Organization Incorporation State FL
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code N62 - Basketball
Organization’s purpose Charitable: No
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 No
One Third Support Gifts No
Benefit of College No
Private Foundation 508(e) Yes
Seeking Retroactive Reinstatement No
Seeking Section 7 Reinstatement No
Correctness Declaration Yes
Signature Name DEXTER LAMONT
Signature Title VICE PRESIDENT / OPERATIONS
Signature Date 12/31/2019

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