FORM 1023-EZ for BLACK LION SPORTS FOUNDATION TEAM773 INC

Field Data
EIN 81-4276725
Case Number EO-2016326-000326
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name BLACK LION SPORTS FOUNDATION TEAM773 INC
Organization’s Mailing Address 2804 S SAWYER AVE
City CHICAGO
State IL
ZIP 60623-4740
Accounting period End 12
Primary contact name REGINALD KING
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

CARMEN GRINSTEAD
CHAIRMAN
631 S KILDARE
CHICAGO IL 60624

Officer/Director/Trustee Two

LAVERIA KING
VICE CHAIRMAN
940 N CENTRAL PARK
CHICAGO IL 60624

Officer/Director/Trustee Three

ARMONIE BENTON
EXECUTIVE DIRECTOR
2804 S SAWYER AVE
CHICAGO IL 60623

Officer/Director/Trustee Four

CRYSTAL MURPHY
GENERAL MANAGER
2804 S SAWYER AVE
CHICAGO IL 60623

Officer/Director/Trustee Five

REGINALD KING
FOUNDER
2804 S SAWYER AVE
CHICAGO IL 60623-4740

Organization’s website
Organization’s email BLS.TEAM773HOOPS@GMAIL.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 10/31/2016
Organization Incorporation State IL
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code N99 - Recreation, Sports, Leisure, Athletics N.E.C.
Organization’s purpose Charitable: Yes
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 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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