FORM 1023-EZ for SILVER LAKE YOUTH LEAGUE

Field Data
EIN 50-0534333
Case Number EO-2015093-000277
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name SILVER LAKE YOUTH LEAGUE
Organization’s Mailing Address 10817 S BOUSE DR
City SILVER LAKE
State IN
ZIP 46982
Accounting period End 12
Primary contact name KATHLEEN LOKOTAR
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

KATHLEEN LOKOTAR
TREASRUER
10817 S BOUSE DR
SILVER LAKE IN 46982

Officer/Director/Trustee Two

DAMON JOHNSON
PRESIDENT
1469 S ST RD 25
WARSAW IN 46580

Officer/Director/Trustee Three

JONATHON CONLEY
VICE PRESIDENT
508 N JEFFERSON ST
SILVER LAKE IN 46982

Officer/Director/Trustee Four

JENNIFER METZGER
SECRETARY
2087 W LAKE PARK DR
WARSAW IN 46580

Organization’s website SILVERLAKEYOUTHLEAGUE.ORG
Organization’s email LEAGUE@SILVERLAKEYOUTHLEAGUE.ORG
Organization Incorporated No
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 10/1/2002
Organization Incorporation State IN
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: No
Religious: No
Educational: No
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 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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