FORM 1023-EZ for TACONIC VALLEY YOUTH BASKETBALL INC

Field Data
EIN 83-0576682
Case Number EO-2018282-000542
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name TACONIC VALLEY YOUTH BASKETBALL INC
Organization’s Mailing Address 304 BABCOCK LAKE RD
City PETERSBURG
State NY
ZIP 12138
Accounting period End 5
Primary contact name CARRIE MINKLER
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

CARRIE MINKLER
TREASURER
304 BABCOCK LAKE RD
PETERSBURG NY 12138

Officer/Director/Trustee Two

DEANNA HANSEN
SECRETARY
2968 RT 2
CROPSEYVILLE NY 12052

Officer/Director/Trustee Three

TRISHA JANSEN
PRESIDENT
24 BRIMMER FARM RD
BERLIN NY 12022

Officer/Director/Trustee Four

VALLIS GOODERMOTE
VICE PRESIDENT
111 WEAVER DAM RD
PETERSBURG NY 12138

Officer/Director/Trustee Five

AMY SCHAAPHOK
VICE PRESIDENT
292 POTTERHILL RD
PETERSBURG NY 12138

Organization’s website TACONICVALLEYYOUTHBASKETBALL.COM
Organization’s email TACONICVALLEYYOUTHBASKETBALL@GMAIL.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 9/12/18
Organization Incorporation State NY
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: 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 Yes
One Third Support Gifts No
Benefit of College No
Private Foundation 508(e) No
Seeking Retroactive Reinstatement No
Seeking Section 7 Reinstatement No
Correctness Declaration Yes
Signature Name TRISHA JANSEN
Signature Title PRESIDENT
Signature Date 10/7/18

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