FORM 1023-EZ for LAWTON BRONSON YOUTH BASKETBALL INC

Field Data
EIN 47-5423090
Case Number EO-2016098-000212
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name LAWTON BRONSON YOUTH BASKETBALL INC
Organization’s Mailing Address 2280 180TH STREET
City LAWTON
State IA
ZIP 51030
Accounting period End 12
Primary contact name AMY RICKE
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

AMY RICKE
PRESIDENT
2280 180TH STREET
LAWTON IA 51030

Officer/Director/Trustee Two

BRANDI JESSEN
VICE-PRESIDENT
501 E FRONT STREET
BRONSON IA 51007

Officer/Director/Trustee Three

JESSE PEDERSON
SECRETARY
170 W CREEK DRIVE
LAWTON IA 51030

Officer/Director/Trustee Four

BRIAN JENSEN
TREASURER
501 ERINS COVE
LAWTON IA 51030

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 10/16/2015
Organization Incorporation State IA
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 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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