FORM 1023-EZ for VAN BUREN THUNDER YOUTH BASKETBALL INC

Field Data
EIN 82-4427469
Case Number EO-2018117-000152
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name VAN BUREN THUNDER YOUTH BASKETBALL INC
Organization’s Mailing Address 2239 ALMA BLVD 2
City VAN BUREN
State AR
ZIP 72956
Accounting period End 12
Primary contact name RALPH LEWIS CPA
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

ALLAN ADAMS
PRESIDENT
2239 ALMA BLVD
VAN BUREN AR 72956

Officer/Director/Trustee Two

BRAD SYROCK
DIRECTOR
1700 POPULAR STREET
VAN BUREN AR 72956

Officer/Director/Trustee Three

BECKY HEFNER
DIRECTOR
1907 FORT STREET
BARLING AR 72923

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 2/13/18
Organization Incorporation State AR
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 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 No
Benefit of College No
Private Foundation 508(e) Yes
Seeking Retroactive Reinstatement No
Seeking Section 7 Reinstatement No
Correctness Declaration Yes
Signature Name ALLAN ADAMS
Signature Title PRESIDENT
Signature Date 4/25/18

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