FORM 1023-EZ for CARROLL COUNTY CO-OP HOCKEY CLUB

Field Data
EIN 82-2694552
Case Number EO-2017271-000200
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name CARROLL COUNTY CO-OP HOCKEY CLUB
Organization’s Mailing Address 6406 HOMEBUILDER DRIVE
City MOUNT AIRY
State MD
ZIP 21771
Accounting period End 7
Primary contact name LAURA BURDT
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

PAUL FINCH
PRESIDENT
5623 WEATHERBY DRIVE
WOODBINE MD 21797

Officer/Director/Trustee Two

MARK FRANTZEN
VICE PRESIDENT
1411 PLACID DR
ELDERSBURG MD 21784

Officer/Director/Trustee Three

AMY CARNEY
SECRETARY
5317 LORRETTA DR
MT AIRY MD 21771

Officer/Director/Trustee Four

ROBERT BLACKFORD
MEMBER
1689 ARMISTICE WAY
MARRIOTTSVILLE MD 21104

Officer/Director/Trustee Five

LAURA BURDT
TREASURER
6406 HOMEBUILDER DR
MT AIRY MD 21771

Organization’s website
Organization’s email
Organization Incorporated No
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 8/14/2017
Organization Incorporation State MD
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code N68 - Winter Sports (Snow and Ice)
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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