FORM 1023-EZ for PERKINS0TRYON BASKETBALL BOOSTER CLUB

Field Data
EIN 81-2786430
Case Number EO-2020135-000078
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name PERKINS0TRYON BASKETBALL BOOSTER CLUB
Organization’s Mailing Address PO BOX 129
City PERKINS
State OK
ZIP 74059-4110
Accounting period End 12
Primary contact name STEVE MYERS
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

BRIAN MCCUTCHEN
PRESIDENT
115 EAST 80TH
STILLWATER OK 74074

Officer/Director/Trustee Two

STEVE MYERS
TREASURER
11022 S FAIRGROUNDS
PERKINS OK 74059

Organization’s website
Organization’s email
Organization Incorporated No
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 6/1/2016
Organization Incorporation State OK
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 Yes
Correctness Declaration Yes
Signature Name STEVE MYERS
Signature Title TREASURER
Signature Date 5/12/2020
EIN 81-2786430
Case Number EO-2016155-000215
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name PT BASKETBALL BOOSTER CLUB
Organization’s Mailing Address 11422 DERBY CT
City PERKINS
State OK
ZIP 74059
Accounting period End 12
Primary contact name TREVOR WELLS
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

TREVOR WELLS
PRESIDENT
11422 DERBY CT
PERKINS OK 74059

Officer/Director/Trustee Two

CASEY MARTIN
SEC
12617 S KELLY LANE
PERKINS OK 74059

Officer/Director/Trustee Three

MARTY VOLCKER
VICE PRESIDENT
303 E KENWORTHY ST
PERKINS OK 74059

Organization’s website
Organization’s email TE_WELLS@ATT.NET
Organization Incorporated No
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 6/1/2012
Organization Incorporation State OK
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code Z99 - Unclassified
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 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
Signature Title
Signature Date

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