FORM 1023-EZ for CHRISTIAN YOUTH BASKETBALL ASSOCIATION

Field Data
EIN 23-2739015
Case Number EO-2019114-000430
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name CHRISTIAN YOUTH BASKETBALL ASSOCIATION
Organization’s Mailing Address 536 N 56TH STREET
City PHILADELPHIA
State PA
ZIP 19131
Accounting period End 12
Primary contact name CARRIE L DAVIS ESQ
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

WORTHINGTON BROOKS
PRESIDENT
1850 MOHICAN STREET
PHILADELPHIA PA 19138

Officer/Director/Trustee Two

ROGER WALTON
VICE PRESIDENT
636 PENN AVENUE
GLENSIDE PA 19038

Officer/Director/Trustee Three

KELLY STEWART
TREASURER
536 N 56TH STREET
PHILADELPHIA PA 19131

Officer/Director/Trustee Four

HOWARD MILLS
SECRETARY
33 TAYLOR AVENUE
BOOTHWYN PA 19061

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 12/1/93
Organization Incorporation State PA
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: Yes
Religious: Yes
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 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 ROGER WALTON
Signature Title VICE PRESIDENT
Signature Date 4/22/19

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