FORM 1023-EZ for LOUISA LADY LYNX BASKETBALL

Field Data
EIN 47-5677987
Case Number EO-2017030-000410
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name LOUISA LADY LYNX BASKETBALL
Organization’s Mailing Address 115 CHAPEL WAY
City BUMPASS
State VA
ZIP 23024
Accounting period End 12
Primary contact name JOHN H SMITH JR
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

JOHN H SMITH JR
TRUSTEE
115 CHAPEL WAY
BUMPASS VA 23024-2441

Officer/Director/Trustee Two

MIKE WILSON
TRUSTEE
296 OAKLAND ROAD
LOUISA VA 23093

Organization’s website
Organization’s email
Organization Incorporated
Organization trust Yes
Necessary Organizing Documents Yes
Organization Incorporation Date 11/25/2015
Organization Incorporation State VA
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code N60 - Amateur Sports Clubs, Leagues, N.E.C.
Organization’s purpose Charitable: No
Religious: No
Educational: No
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 Yes
Conducting Activities Outside of United States No
Financial transactions with officers No
Unrelated Gross Income $1,000 or More No
Gaming Activity Yes
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
Signature Title
Signature Date

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