FORM 1023-EZ for COACHES MENTORING THROUGH BASKETBALL INC

Field Data
EIN 47-5654864
Case Number EO-2016228-000248
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name COACHES MENTORING THROUGH BASKETBALL INC
Organization’s Mailing Address 1809 FRENCH CREEK ROAD
City TAMPA
State FL
ZIP 33613
Accounting period End 1
Primary contact name HERBERT N ALLEN JR
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

HERBERT ALLEN
PRESIDENT
1809 FRENCH CREEK ROAD
TAMPA FL 33613

Officer/Director/Trustee Two

MICHELE PATTERSON
S
1802 FRENCH CREEK ROAD
TAMPA FL 33613

Officer/Director/Trustee Three

LEROY STALEY
VP
14302 WEDGEWOOD CIR
TAMPA FL 33613

Officer/Director/Trustee Four

KENITRA COLEMAN
T
10340 BARNETT LOOP
PORT RICHEY FL 34668

Officer/Director/Trustee Five

KENNETH ANTHONY
TRUSTEE
PO BOX 76082
TAMPA FL 33765

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 10/26/2015
Organization Incorporation State FL
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 No
Correctness Declaration Yes
Signature Name
Signature Title
Signature Date

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