FORM 1023-EZ for LADY CHAMPIONS BASKETBALL BOOSTER INC

Field Data
EIN 82-3697806
Case Number EO-2018128-000879
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name LADY CHAMPIONS BASKETBALL BOOSTER INC
Organization’s Mailing Address 6822 S 58TH AVENUE
City LAVEEN
State AZ
ZIP 85339
Accounting period End 12
Primary contact name RENEE DOMINGUEZ
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

NOLA TALAUEGA
DIRECTOR
6822 S 58TH AVE
LAVEEN AZ 85339

Officer/Director/Trustee Two

PETE OLAGUE
DIRECTOR
3314 W LATONA RD
LAVEEN AZ 85339

Officer/Director/Trustee Three

RENEE DOMINGUEZ
DIRECTOR
4000 W GRANT ST
PHOENIX AZ 85009

Officer/Director/Trustee Four

SOPHIA GRAVES
DIRECTOR
3201 S 63RD LANE
PHOENIX AZ 85043

Organization’s website
Organization’s email LADYCHAMPIONSBOOSTER@GMAIL.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 2/7/18
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 No
Seeking Section 7 Reinstatement No
Correctness Declaration Yes
Signature Name RENEE DOMINGUEZ
Signature Title DIRECTOR
Signature Date 5/2/18

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