FORM 1023-EZ for LOCKDOWN BASKETBALL

Field Data
EIN 47-2180444
Case Number EO-2014304-000468
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name LOCKDOWN BASKETBALL
Organization’s Mailing Address 1221 THISTLE TRL
City CEDAR PARK
State TX
ZIP 78613
Accounting period End 12
Primary contact name DEREK DION
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

DEREK DION
PRESIDENT, DIRECTOR
1221 THISTLE TRL
CEDAR PARK TX 78613

Officer/Director/Trustee Two

DUANE LEDIEN
SECRETARY, DIRECTOR
9715 FM 620 APT 6305
AUSTIN TX 78726

Officer/Director/Trustee Three

JACK MONTAGNA
TREASURER, DIRECTOR
8809 MOSQUERO CIR
AUSTIN TX 78748

Organization’s website N/A
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 10/24/2014
Organization Incorporation State TX
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 Yes
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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