FORM 1023-EZ for CROSWELL LEXINGTON ATHLETIC BOOSTERS

Field Data
EIN 83-2016720
Case Number EO-2019052-000220
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name CROSWELL LEXINGTON ATHLETIC BOOSTERS
Organization’s Mailing Address 5461 PECK RD
City CROSWELL
State MI
ZIP 48422
Accounting period End 6
Primary contact name MELISSA YOUTSOS
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

BRETT VAUGHN
PRESIDENT
3402 OLD OCHARD LANE
LEXINGTON MI 48450

Officer/Director/Trustee Two

JILL MEINHARD
TREASURER
6260 WILDCAT RD
GRANT TOWNSHIP MI 48032

Officer/Director/Trustee Three

DENISE VITALE
SECRETARY
8286 LAKESHORE RD
BURTCHVILLE TOWNSHIP MI 48059

Organization’s website
Organization’s email
Organization Incorporated No
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 9/25/18
Organization Incorporation State MI
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code N12 - Fund Raising and/or Fund Distribution
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 Yes
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 BRETT VAUGHN
Signature Title PRESIDENT
Signature Date 2/19/19

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