FORM 1023-EZ for WHIDBEY ISLAND BASKETBALL CLUB

Field Data
EIN 81-3066760
Case Number EO-2016193-000402
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name WHIDBEY ISLAND BASKETBALL CLUB
Organization’s Mailing Address 1546 NE 2ND AVE
City OAK HARBOR
State WA
ZIP 98277
Accounting period End 6
Primary contact name JUSTIN RONNING
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

JUSTIN RONNING
PRESIDENT
1546 NE 2ND AVE
OAK HARBOR WA 98277

Officer/Director/Trustee Two

DAN ABBOTT
VICE PRESIDENT
2421 HEMENWAY PLACE
OAK HARBOR WA 98277

Officer/Director/Trustee Three

DAVID FRANKLIN
TREASURER
1238 NOEL GREENE DR
OAK HARBOR WA 98277

Organization’s website
Organization’s email OAKHARBORBASKETBALL@GMAIL.COM
Organization Incorporated No
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 6/27/2016
Organization Incorporation State WA
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: 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 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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