FORM 1023-EZ for CREEKVIEW BOYS YOUTH LACROSSE INC

Field Data
EIN 81-2327801
Case Number EO-2017080-000188
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name CREEKVIEW BOYS YOUTH LACROSSE INC
Organization’s Mailing Address 305 VANDIVER CT
City CANTON
State GA
ZIP 30115
Accounting period End 12
Primary contact name MICHAEL HEATH
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

MICHAEL HEATH
PRESIDENT
1431 GREENWOOD CT
CANTON GA 30115

Officer/Director/Trustee Two

JEREMY MANNING
SECRETARY
4086 EAST CHEROKEE
CANTON GA 30115

Officer/Director/Trustee Three

JUSTIN BAILEY
TREASURER
6246 UNION HILL RD
CANTON GA 30115

Officer/Director/Trustee Four

JOHN SAUNDERS
DIRECTOR OF COACHES/PLAYER DEVELOP.
305 VANDIVER CT
CANTON GA 30115

Officer/Director/Trustee Five

KELLY CARRINGER
DIRECTOR OF COMMUNICATION
204 DAVIS MILL RD
BALL GROUND GA 30107

Organization’s website JRGRIZZLYLAX.ORG
Organization’s email CBYLAX@GMAIL.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 3/23/2016
Organization Incorporation State GA
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: 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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