FORM 1023-EZ for CLUB UTAH BASKETBALL ACADEMY

Field Data
EIN 84-2933775
Case Number EO-2019259-000922
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name CLUB UTAH BASKETBALL ACADEMY
Organization’s Mailing Address 525 EAST 200 SOUTH
City LEHI
State UT
ZIP 84043
Accounting period End 12
Primary contact name JEFFREY E MATSON
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

BREIANNA HOFELDT
TRUSTEE, PRESIDENT
525 EAST 200 SOUTH
LEHI UT 84043

Officer/Director/Trustee Two

TIM HUANG
TRUSTEE, VICE PRESIDENT
844 WEST 2700 NORTH
LEHI UT 84043

Officer/Director/Trustee Three

JOSHUA HOFELDT
TRUSTEE, SECRETARY
525 EAST 200 SOUTH
LEHI UT 84043

Officer/Director/Trustee Four

CRYSTAL HUANG
TRUSTEE, TREASURER
844 WEST 2700 NORTH
LEHI UT 84043

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 7/17/19
Organization Incorporation State UT
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 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 TIM HUANG
Signature Title TRUSTEE, VICE PRESIDENT
Signature Date 9/12/19

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