FORM 1023-EZ for BURBANK VIPERS BASKETBALL CLUB

Field Data
EIN 35-2542655
Case Number EO-2015355-000211
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name BURBANK VIPERS BASKETBALL CLUB
Organization’s Mailing Address 1115 SCOTT ROAD
City BURBANK
State CA
ZIP 91504-4238
Accounting period End 12
Primary contact name JOHN ZELEDON
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

JOHN ZELEDON
PRESIDENT/CEO
1115 SCOTT ROAD
BURBANK CA 91504-4238

Officer/Director/Trustee Two

ANA ZELEDON
SECRETARY
1115 SCOTT ROAD
BURBANK CA 91504-4238

Officer/Director/Trustee Three

DARREN HUBBLE
DIRECTOR/PROGRAM COACH
365 W ELM
BURBANK CA 91506-3317

Organization’s website WWW.VIPERSFOUNDATIONYOUTHBASKETBALL.COM
Organization’s email WWW.JUSTBALLIN_3@YAHOO.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 7/1/2015
Organization Incorporation State CA
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code O20 - Youth Centers, Clubs, Multipurpose
Organization’s purpose Charitable: Yes
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 Yes
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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