FORM 1023-EZ for CAMDENTON LAKERS YOUTH FOOTBALL LEAGUE

Field Data
EIN 86-2445412
Case Number EO-2021104-000446
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name CAMDENTON LAKERS YOUTH FOOTBALL LEAGUE
Organization’s Mailing Address 148 GANTER RD
City MONTREAL
State MO
ZIP 65591
Accounting period End 12
Primary contact name LARISSA EMORY
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

LARISSA EMORY
DIRECTOR
148 GANTER RD
MONTREAL MO 65591

Officer/Director/Trustee Two

JASON SYLVESTER
CO-DIRECTOR
110 ROY HARMAN
CAMDENTON MO 65020

Officer/Director/Trustee Three

SHAWN MASCHINO
PRESIDENT
8 TALL TIMBERS LANE
ROACH MO 65787

Officer/Director/Trustee Four

BRETT EIDSON
VICE PRESIDENT
400 MYETTA DRIVE
CAMDENTON MO 65020

Officer/Director/Trustee Five

TRACY WILSON
TREASURER
390 CLINT AVENUE
CAMDENTON MO 65020

Organization’s website lilhogs.org
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 3/5/2021
Organization Incorporation State MO
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: 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 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 LARISSA EMORY
Signature Title DIRECTOR
Signature Date 4/9/2021

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