FORM 1023-EZ for BURNT HILLS-BALLSTON LAKE JUNIOR SPARTAN LACROSSE CLUB INC

Field Data
EIN 82-0927184
Case Number EO-2017097-000459
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name BURNT HILLS-BALLSTON LAKE JUNIOR SPARTAN LACROSSE CLUB INC
Organization’s Mailing Address 3 ACORN DRIVE
City BURNT HILLS
State NY
ZIP 12027
Accounting period End 12
Primary contact name MICHAEL HOWARD
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

MICHAEL HOWARD
DIRECTOR
14 BIRCH LANE
GLENVILLE NY 12302

Officer/Director/Trustee Two

CODY MAGGS
DIRECTOR
38 PASHLEY ROAD
GLENVILLE NY 12302

Officer/Director/Trustee Three

ERIC DONOHUE
DIRECTOR
3 ACORN DRIVE
BURNT HILLS NY 12027

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 2/28/2017
Organization Incorporation State NY
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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