FORM 1023-EZ for CONVERGE LOS ANGELES BASKETBALL CLUB

Field Data
EIN 83-1413781
Case Number EO-2018221-000399
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name CONVERGE LOS ANGELES BASKETBALL CLUB
Organization’s Mailing Address 820 MILLARD CANYON ROAD
City ALTADENA
State CA
ZIP 91001
Accounting period End 12
Primary contact name LIA LEE CPA
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

STEVE BAIK
EXECUTIVE DIRECTOR
820 MILLARD CANYON ROAD
ALTADENA CA 91001

Organization’s website
Organization’s email CONVERGE.LABC@GMAIL.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 7/31/18
Organization Incorporation State CA
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 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 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 STEVE BAIK
Signature Title EXECUTIVE DIRECTOR
Signature Date 8/7/18

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