FORM 1023-EZ for GHPA YOUTH BASKETBALL PROGRAM INC

Field Data
EIN 47-1473545
Case Number EO-2014254-000291
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name GHPA YOUTH BASKETBALL PROGRAM INC
Organization’s Mailing Address 89 SUTTON PLACE
City BLOOMFIELD
State CT
ZIP 06002
Accounting period End 8
Primary contact name KEVIN L KIRKSEY
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

SUSIE KIRKSEY
CHAIRMAN
515 GRANTHAM LANE
CHARLOTTE CT 28262-1618

Officer/Director/Trustee Two

PENNEY DAVIS
CO-CHAIRMAN
19 SALISBURY STREET
HARTFORD CT 06112-1145

Officer/Director/Trustee Three

JAMES KIRKSEY
TREASURER
515 GRANTHAM LANE
CHARLOTTE CT 28262-1618

Officer/Director/Trustee Four

LISA HALL
SECRETARY
16 EAGLETON DRIVE
WINDSOR CT 06095-3821

Officer/Director/Trustee Five

KEVIN L KIRKSEY
EXECUTIVE DIRECTOR
89 SUTTON PL
BLOOMFIELD CT 06002-4005

Organization’s website
Organization’s email GHPAYOUTH@GMAIL.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 7/21/2014
Organization Incorporation State CT
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 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 No
Seeking Section 7 Reinstatement No
Correctness Declaration Yes
Signature Name
Signature Title
Signature Date

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