FORM 1023-EZ for SOUTH APPALACHIA YOUTH LACROSSE

Field Data
EIN 82-1299315
Case Number EO-2020231-000179
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name SOUTH APPALACHIA YOUTH LACROSSE
Organization’s Mailing Address 128 W GODDARD AVE
City MARYVILLE
State TN
ZIP 37803-4918
Accounting period End 11
Primary contact name DAVID ODOM
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

DAVID ODOM
PRESIDENT
128 W GODDARD AVENUE
MARYVILLE TN 37803-4918

Officer/Director/Trustee Two

LEAH ODOM
TREASURER
128 W GODDARD AVE
MARYVILLE TN 37803-4918

Officer/Director/Trustee Three

ELYA PHILBROOK
BOARD MEMBER
1109 UNIVERSITY PKWY -3112D
JOHNSON CITY TN 37604-6959

Organization’s website WWW.SAYLAX.ORG
Organization’s email ADMINISTRATION@SAYLAX.ORG
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 4/24/2017
Organization Incorporation State TN
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code N60 - Amateur Sports Clubs, Leagues, N.E.C.
Organization’s purpose Charitable: Yes
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 Yes
Seeking Section 7 Reinstatement No
Correctness Declaration Yes
Signature Name DAVID ODOM
Signature Title PRESIDENT
Signature Date 8/14/2020
EIN 82-1299315
Case Number EO-2017236-000146
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name SOUTH APPALACHIA YOUTH LACROSSE
Organization’s Mailing Address 128 W GODDARD AVE
City MARYVILLE
State TN
ZIP 37803-4918
Accounting period End 11
Primary contact name DAVID ODOM
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

DAVID ODOM
PRESIDENT
128 W GODDARD AVE
MARYVILLE TN 37803-4918

Officer/Director/Trustee Two

LEAH ODOM
TREASURER
128 GODDARD AVENUE
MARYVILLE TN 37803-4918

Officer/Director/Trustee Three

MISTY DAGLEY
VICE PRESIDENT
1416 MAURY ST
ALCOA TN 37701-2026

Officer/Director/Trustee Four

MICHAEL DAGLEY
CLERK
1416 MAURY ST
ALCOA TN 37701-2026

Officer/Director/Trustee Five

ELYA PHILBROOK
BOARD MEMBER
400 JL SEEHORN JR RD
JOHNSON CITY TN 37614-6504

Organization’s website WWW.SAYLAX.ORG
Organization’s email INFO@SAYLAX.ORG
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 4/24/2017
Organization Incorporation State TN
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code N60 - Amateur Sports Clubs, Leagues, N.E.C.
Organization’s purpose Charitable: Yes
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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