FORM 1023-EZ for ADAIR YOUTH BASKETBALL ASSOCIATION

Field Data
EIN 81-4357501
Case Number EO-2017138-000270
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name ADAIR YOUTH BASKETBALL ASSOCIATION
Organization’s Mailing Address PO BOX 25
City ADAIR
State OK
ZIP 74330
Accounting period End 12
Primary contact name FLOYD LANGLEY
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

JACK KERR
PRESIDENT
443190 EAST 386 RD
VINITA OK 74301

Officer/Director/Trustee Two

CRISSA GOODMAN
VICE PRESIDENT
8699 N 435 RD
ADAIR OK 74330

Officer/Director/Trustee Three

JAMIE FLUD
TREASURER
PO BOX 531
LANGLEY OK 74350

Officer/Director/Trustee Four

FLOYD LANGLEY
SECRETARY
PO BOX 162
ADAIR OK 74330

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 11/8/2016
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: No
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
Signature Title
Signature Date

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