FORM 1023-EZ for BURRILLVE YOUTH FOOTBALL AND CHEER

Field Data
EIN 26-2551425
Case Number EO-2016277-000324
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name BURRILLVE YOUTH FOOTBALL AND CHEER
Organization’s Mailing Address PO BOX 309
City HARRISVILLE
State RI
ZIP 02830
Accounting period End 12
Primary contact name LORRAINE NICOLAY
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

LORRAINE NICOLAY
PRESIDENT
484 ROUND TOP ROAD
HARRISVILLE RI 02830

Officer/Director/Trustee Two

JAMES COURNOYER
VICE PRESIDENT
MENDON ROAD
WOONSOCKET RI 02895

Officer/Director/Trustee Three

LISA LACEY
TREASURER
101 FOSTER STREET
HARRISVILLE RI 02830

Officer/Director/Trustee Four

ALICE SOULLIER
SECRETARY
490 SOUTH MAIN STREET
HARRISVILLE RI 02859

Officer/Director/Trustee Five

ROBERT GELINAS
FOOTBALL COMMISIONER
MAUREEN CIRCLE
BURRILLVILLE RI 02859

Organization’s website HTTP://WWW.ETEAMZ.COM/BURRILLVILLEPATRIOTS/
Organization’s email BYFC13@VERIZON.NET
Organization Incorporated No
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 5/6/2008
Organization Incorporation State RI
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code N65 - Football Clubs, Leagues
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 Yes
Seeking Section 7 Reinstatement No
Correctness Declaration Yes
Signature Name
Signature Title
Signature Date

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