FORM 1023-EZ for MIDLAND PARK BASKETBALL ASSOCIATION

Field Data
EIN 26-1895243
Case Number EO-2015272-000169
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name MIDLAND PARK BASKETBALL ASSOCIATION
Organization’s Mailing Address PO BOX 441
City MIDLAND PARK
State NJ
ZIP 07432-0441
Accounting period End 6
Primary contact name PHILIP LUBEROFF
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

RICHARD FORMICOLA
PRESIDENT
200 KEW CT
MIDLAND PARK NJ 07432-1923

Officer/Director/Trustee Two

PERRY CALDERONE
VICE-PRESIDENT
69 EVERGREEN ST
MIDLAND PARK NJ 07432-1103

Officer/Director/Trustee Three

ANTHONY ASENCIO
SECRETARY
148 VREELAND AVE
MIDLAND PARK NJ 07432-1623

Officer/Director/Trustee Four

PHILIP LUBEROFF
TREASURER
79 HILL ST
MIDLAND PARK NJ 07432-1640

Organization’s website MPBASKETBALL.COM
Organization’s email MPBASKETBALLASSN@GMAIL.COM
Organization Incorporated No
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 7/1/2015
Organization Incorporation State NJ
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: Yes
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 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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