FORM 1023-EZ for AGOURA HIGH SCHOOL BASKETBALL FOUNDATION

Field Data
EIN 82-2652672
Case Number EO-2018107-000322
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name AGOURA HIGH SCHOOL BASKETBALL FOUNDATION
Organization’s Mailing Address 5805 LAKE LINDERO DRIVE
City AGOURA HILLS
State CA
ZIP 91301
Accounting period End 6
Primary contact name TAMI MILLER
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

CONLEY OLIVER
PRESIDENT
5916 LAS VIRGENES ROAD APT 670
CALABASAS CA 91302

Officer/Director/Trustee Two

JASON ANCRUM
VICE PRESIDENT
607 HAMPSHIRE ROAD UNIT 397
WESTLAKE VILLAGE CA 91361

Officer/Director/Trustee Three

KALIN WALLING
DIRECTOR BOYS BASKETBALL
2837 BARRY STREET
CAMARILLO CA 93010

Officer/Director/Trustee Four

JESS KELLIHER
DIRECTOR GIRLS BASKETBALL
3682 SUNSET KNOLLS DRIVE
THOUSAND OAKS CA 91363

Officer/Director/Trustee Five

MARY MOODY
SECRETARY
32028 GRENVILLE COURT
WESTLAKE VILLAGE CA 91361

Organization’s website
Organization’s email AGOURABOYSBASKETBALL@GMAIL.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 6/30/17
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: Yes
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 No
Seeking Section 7 Reinstatement No
Correctness Declaration Yes
Signature Name MARY MOODY
Signature Title SECRETARY
Signature Date 3/25/18

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