FORM 1023-EZ for USA BALLERS- UNITING STUDENT ATHLETES

Field Data
EIN 82-3683878
Case Number EO-2018061-000076
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name USA BALLERS- UNITING STUDENT ATHLETES
Organization’s Mailing Address 6360 NARRAGANSETT BAY DRIVE APT 102
City TAMPA
State FL
ZIP 33615
Accounting period End 12
Primary contact name CYNTHIA E PAIGE
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

DANE PAIGE
PRESIDENT
6360 NARRAGANSETT BAY DRIVE APT 102
TAMPA FL 33615

Officer/Director/Trustee Two

CHRISTOPHER ELLIS
VICE PRESIDENT
6360 NARRAGANSETT BAY DRIVE APT 102
TAMPA FL 33615

Officer/Director/Trustee Three

CYNTHIA PAIGE
TREASURER
6360 NARRAGANSETT BAY DRIVE APT 102
TAMPA FL 33615

Officer/Director/Trustee Four

WYNTER ELLIS
SECRETARY
6360 NARRAGANSETT BAY DRIVE APT 102
TAMPA FL 33615

Organization’s website WWW.USABALLERS.ORG
Organization’s email TAMPAUSABALLERS@GMAIL.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 12/13/17
Organization Incorporation State FL
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 Yes
Benefit of College No
Private Foundation 508(e) No
Seeking Retroactive Reinstatement No
Seeking Section 7 Reinstatement No
Correctness Declaration Yes
Signature Name CYNTHIA PAIGE
Signature Title TREASURER
Signature Date 2/28/18

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