FORM 1023-EZ for PORTLAND FUTURE BASKETBALL ACADEMY

Field Data
EIN 82-4941105
Case Number EO-2018155-000227
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name PORTLAND FUTURE BASKETBALL ACADEMY
Organization’s Mailing Address 13803 SE STEELE STREET
City PORTLAND
State OR
ZIP 97236
Accounting period End 12
Primary contact name PRESTON THOMAS
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

PRESTON THOMAS
CEO/PRESIDENT
13803 SE STEELE ST
PORTLAND OR 97236-4050

Officer/Director/Trustee Two

JAVAUN SIMS
VICE PRESIDENT
375 NE SHAVER STREET 215
PORTLAND OR 97212

Officer/Director/Trustee Three

CAMEO REED-THOMAS
SECRETARY
13803 SE STEELE ST
PORTLAND OR 97236-4050

Officer/Director/Trustee Four

SHARDE DENNIS
TREASURER
1605 NE 75TH AVE
PORTLAND OR 97213

Officer/Director/Trustee Five

NICOLETTE HALL
BOARD MEMBER
7334 N ALBINA AVE
PORTLAND OR 97217

Organization’s website
Organization’s email PDXHOOPS@GMAIL.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 3/27/18
Organization Incorporation State OR
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code N62 - Basketball
Organization’s purpose Charitable: Yes
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 Yes
Donation of funds Yes
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 PRESTON THOMAS
Signature Title CEO/PRESIDENT
Signature Date 5/30/18

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