FORM 1023-EZ for GRANT COUNTY LITTLE LEAGUE BASKETBALL INC

Field Data
EIN 47-5354269
Case Number EO-2016109-000235
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name GRANT COUNTY LITTLE LEAGUE BASKETBALL INC
Organization’s Mailing Address 5 HIGHLAND AVENUE
City PETERSBURG
State WV
ZIP 26847
Accounting period End 6
Primary contact name MEGAN TAYLOR
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

AMANDA MORELAND
PRESIDENT
2425 KNOBLEY ROAD
MAYSVILLE WV 26833

Officer/Director/Trustee Two

JASON KITZMILLER
VICE PRESIDENT
8070 LUNICE CREEK HWY
MAYSVILLE WV 26833

Officer/Director/Trustee Three

MEGAN TAYLOR
SECRETARY
396 HERITAGE HILL DR
MAYSVILLE WV 26833

Officer/Director/Trustee Four

GAIL SHOCKEY
TREASURER
38 SLUMBER LANE
PETERSBURG WV 26847

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 10/5/2015
Organization Incorporation State WV
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 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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