FORM 1023-EZ for BOOKER BASKETBALL ACADEMY INC

Field Data
EIN 81-4404412
Case Number EO-2017268-000110
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name BOOKER BASKETBALL ACADEMY INC
Organization’s Mailing Address 6407 ATHENS AVENUE
City RACINE
State WI
ZIP 53406
Accounting period End 12
Primary contact name PATRICK BLENKE
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

PATRICK BLENKE
PRESIDENT
225 MELVIN AVENUE
RACINE WI 53402

Officer/Director/Trustee Two

TOM FORD
VICE-PRESIDENT
1221 AGUSTA STREET
RACINE WI 53402

Officer/Director/Trustee Three

VICTOR THOMAS
TREASURER
2914 MARYLAND AVENUE
RACINE WI 53403

Officer/Director/Trustee Four

WALLACE BOOKER
EXECUTIVE DIRECTOR
6407 ATHENS AVENUE
RACINE WI 53406

Organization’s website
Organization’s email WOPBOOKRBASKETBALLACADEMY@GMAIL.COM
Organization Incorporated No
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 2/20/2017
Organization Incorporation State WI
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code N62 - Basketball
Organization’s purpose Charitable: Yes
Religious: No
Educational: Yes
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
Signature Title
Signature Date

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