FORM 1023-EZ for DEMO PREP BASKETBALL FOUNDATION

Field Data
EIN 81-4389501
Case Number EO-2016342-000069
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name DEMO PREP BASKETBALL FOUNDATION
Organization’s Mailing Address 3252 SE 23RD ST
City GRESHAM
State OR
ZIP 97080
Accounting period End 12
Primary contact name DENNIS NATHAN
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

DENNIS NATHAN
PRESIDENT, DIRECTOR
3252 SE 23RD ST
GRESHAM OR 97080

Officer/Director/Trustee Two

JEFF HOCKERT
VICE PRESIDENT, DIRECTOR
14207 NE BRAZEE ST
PORTLAND OR 97230

Officer/Director/Trustee Three

KATRINA HAWTHORNE
SECRETARY, DIRECTOR
3252 SE 23RD ST
GRESHAM OR 97080

Officer/Director/Trustee Four

SAM THOMPSON
TREASURER, DIRECTOR
12640 SE ALDER ST STE 13
PORTLAND OR 97233

Organization’s website N/A
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 9/15/2016
Organization Incorporation State OR
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code O50 - Youth Development Programs, Other
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 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
Signature Title
Signature Date

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