FORM 1023-EZ for PINE ISLAND YOUTH BASKETBALL ASSOCIATION
| Field | Data |
|---|---|
| EIN | 82-2970443 |
| Case Number | EO-2017278-000330 |
| Form 1023-EZ version | 62014 |
| Eligibility Worksheet | 1 |
| Organization Name | PINE ISLAND YOUTH BASKETBALL ASSOCIATION |
| Organization’s Mailing Address | 51786 220TH AVE |
| City | PINE ISLAND |
| State | MN |
| ZIP | 55963 |
| Accounting period End | 8 |
| Primary contact name | SCOTT MILLER |
| Primary contact phone | [Hidden] |
| Primary contact phone extension | [Hidden] |
| Primary contact fax | [Hidden] |
| User fee submitted | $275.00 |
Officer/Director/Trustee One
DERRICK BRANDT
DIRECTOR
620 8TH ST SW
PINE ISLAND MN 55963
Officer/Director/Trustee Two
ERIC OKSTAD
DIRECTOR
1070 21ST LN SE
PINE ISLAND MN 55963
Officer/Director/Trustee Three
PHIL REITER
DIRECTOR
1000 TRAILVIEW LN SE
PINE ISLAND MN 55963
Officer/Director/Trustee Four
SCOTT MILLER
DIRECTOR
51786 220TH AVE
PINE ISLAND MN 55963
| Organization’s website | |
|---|---|
| Organization’s email | |
| Organization Incorporated | Yes |
| Organization trust | No |
| Necessary Organizing Documents | Yes |
| Organization Incorporation Date | 8/30/2017 |
| Organization Incorporation State | MN |
| 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: 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 | 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 | |
| Signature Title | |
| Signature Date |
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