FORM 1023-EZ for BELIEVE PREP BASKETBALL ACADEMY

Field Data
EIN 84-2652906
Case Number EO-2020009-000380
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name BELIEVE PREP BASKETBALL ACADEMY
Organization’s Mailing Address 324 PARK AVENUE
City ROCK HILL
State OH
ZIP 29730
Accounting period End 12
Primary contact name KEVIN JACKSON
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

KEVIN JACKSON
PRESIDENT-CEO
324 PARK AVENUE
ROCK HILL SC 29730

Officer/Director/Trustee Two

JACKIE GREEN
TREASURER
324 PARK AENUE
ROCK HILL SC 29730

Officer/Director/Trustee Three

GENE SIMPSON
BOARD MEMBER
222 E BLAND STREET APT 106
CHARLOTTE NC 28203

Officer/Director/Trustee Four

IMANI LULE
BOARD MEMBER
1255 BOWES AVENUE
ROCK HILL SC 29730

Officer/Director/Trustee Five

WINNIE DEMPSEY
BOARD MEMBER
410-10 12TH STREET
QUEENS NY 11101-7610

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 8/9/2019
Organization Incorporation State SC
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code O50 - Youth Development Programs, Other
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 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 KEVIN JACKSON
Signature Title PRESIDENT-CEO
Signature Date 1/7/2020

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