FORM 1023-EZ for LAINGSBURG COMMUNITY BASKETBALL ASSOCIATION

Field Data
EIN 45-4158772
Case Number EO-2016051-000055
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name LAINGSBURG COMMUNITY BASKETBALL ASSOCIATION
Organization’s Mailing Address 6805 VICTORIA SHORE DRIVE
City LAINGSBURG
State MI
ZIP 48848
Accounting period End 9
Primary contact name RANDALL S GREGG
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

ANDY BROWN
PRESIDENT/DIRECTOR
8674 PARKER ROAD
LAINGSBURG MI 48848

Officer/Director/Trustee Two

BRANDON WOODWORTH
VICE PRESIDENT/DIRECTOR
6859 WESTGATE DRIVE
LAINGSBURG MI 48848

Officer/Director/Trustee Three

REBECCA LANGDON-HAGERTY
SECRETARY/DIRECTOR
823 WEST STREET
LAINGSBURG MI 48848

Officer/Director/Trustee Four

RANDALL GREGG
TREASURER/DIRECTOR
6805 VICTORIA SHORE DRIVE
LAINGSGURG MI 48848

Officer/Director/Trustee Five

JASON WALKER
DIRECTOR
4190 LELAND ROAD
LAINGSBURG MI 48848

Organization’s website
Organization’s email RANDALLSGREGG@GMAIL.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 11/29/2011
Organization Incorporation State MI
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: No
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 Yes
Seeking Section 7 Reinstatement No
Correctness Declaration Yes
Signature Name
Signature Title
Signature Date

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