FORM 1023-EZ for THE FORMULA BY LABOUT SKILLZ INC

Field Data
EIN 85-0680266
Case Number EO-2021064-000899
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name THE FORMULA BY LABOUT SKILLZ INC
Organization’s Mailing Address 37 LEXINGTON AVE
City MOUNT VERNON
State NY
ZIP 10552
Accounting period End 12
Primary contact name JASMIN LAWRENCE
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

BRIAN PRITCHETT
PRESIDENT
150 GLENWOOD AVE
MOUNT VERNON NY 10552

Officer/Director/Trustee Two

MARVIN MCCULLOUGH
TREASURER
35 WORTHINGTON ROAD
WHITE PLAINS NY 10607

Officer/Director/Trustee Three

JASMIN LAWRENCE
SECRETARY
35 WORTHINGTON ROAD
WHITE PLAINS NY 10607

Officer/Director/Trustee Four

JOMO BELFOR
DIRECTOR
37 LEXINGTON AVENUE
MOUNT VERNON NY 10552

Organization’s website WWW.LABOUTSKILLZ.COM
Organization’s email LABOUTSKILLZ@GMAIL.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 3/31/2020
Organization Incorporation State NY
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 Yes
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 BRIAN PRITCHETT
Signature Title PRESIDENT
Signature Date 1/6/2021
EIN 85-0680266
Case Number EO-2021064-000899
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name THE FORMULA BY LABOUT SKILLZ INC
Organization’s Mailing Address 37 LEXINGTON AVE
City MOUNT VERNON
State NY
ZIP 10552
Accounting period End 12
Primary contact name JASMIN LAWRENCE
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

BRIAN PRITCHETT
PRESIDENT
150 GLENWOOD AVE
MOUNT VERNON NY 10552

Officer/Director/Trustee Two

MARVIN MCCULLOUGH
TREASURER
35 WORTHINGTON ROAD
WHITE PLAINS NY 10607

Officer/Director/Trustee Three

JASMIN LAWRENCE
SECRETARY
35 WORTHINGTON ROAD
WHITE PLAINS NY 10607

Officer/Director/Trustee Four

JOMO BELFOR
DIRECTOR
37 LEXINGTON AVENUE
MOUNT VERNON NY 10552

Organization’s website WWW.LABOUTSKILLZ.COM
Organization’s email LABOUTSKILLZ@GMAIL.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 3/31/2020
Organization Incorporation State NY
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 Yes
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 BRIAN PRITCHETT
Signature Title PRESIDENT
Signature Date 1/6/2021

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