FORM 1023-EZ for DELRAY BEACH LACROSSE AND LEADERSHIP INC

Field Data
EIN 81-2820554
Case Number EO-2016165-000500
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name DELRAY BEACH LACROSSE AND LEADERSHIP INC
Organization’s Mailing Address 11420 US HIGHWAY ONE BOX 210
City NORTH PALM BEACH
State FL
ZIP 33408
Accounting period End 12
Primary contact name DAVID J THOMAS CPA
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

PAUL KANEB
DIRECTOR
11420 US HIGHWAY ONE BOX 210
NORTH PALM BEACH FL 33408

Officer/Director/Trustee Two

JEFF GOLDBERG
DIRECTOR
11420 US HIGHWAY ONE BOX 210
NORTH PALM BEACH FL 33408

Officer/Director/Trustee Three

DAVID ABELL
DIRECTOR
11420 US HIGHWAY ONE BOX 210
NORTH PALM BEACH FL 33408

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 4/25/2016
Organization Incorporation State FL
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: 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 Yes
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 Yes
One Third Support Gifts No
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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