FORM 1023-EZ for ONSLOW YOUTH LACROSSE ASSOCIATION INC

Field Data
EIN 86-1157672
Case Number EO-2014365-000077
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name ONSLOW YOUTH LACROSSE ASSOCIATION INC
Organization’s Mailing Address 7179
City JACKSONVILLE
State NC
ZIP 28546
Accounting period End 12
Primary contact name PETER DYBA
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

PETER DYBA
PRESIDENT
7179
JACKSONVILLE NC 28546

Officer/Director/Trustee Two

ANGELA MAYERS
TREASURER
7179
JACKSONVILLE NC 28546

Officer/Director/Trustee Three

CHANDRA BRITT
SECRETARY
7179
JACKSONVILLE NC 28546

Organization’s website HTTP://ONSLOWYOUTHLACROSSE.USLAXTEAMS.COM/DEFAULT.ASP?ORG=ONSLOWYOUTHLACROSSE
Organization’s email ONSLOWYOUTHLACROSSE@GMAIL.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 1/26/2006
Organization Incorporation State NC
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code N50 - Recreational, Pleasure, or Social Club
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 Yes
Correctness Declaration Yes
Signature Name
Signature Title
Signature Date

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