FORM 1023-EZ for LEWISTON AREA YOUTH FOOTBALL

Field Data
EIN 82-1703051
Case Number EO-2017201-000055
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name LEWISTON AREA YOUTH FOOTBALL
Organization’s Mailing Address 63 SWITZERLAND RD
City LEWISTON
State ME
ZIP 04240
Accounting period End 12
Primary contact name NICHOLAS BLAIS
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

NICHOLAS BLAIS
PRESIDENT
63 SWITZERLAND RD
LEWISTON ME 04240

Officer/Director/Trustee Two

JOEY PARENT
VICE PRESIDENT
97 NO NAME POND RD
LEWISTON ME 04240

Officer/Director/Trustee Three

ANDRE LEVASSEUR
TREASURER
462 COLLEGE ST
LEWISTON ME 04240

Officer/Director/Trustee Four

CHRISTINE DUBE
SECRETARY
192 MONTELLO ST
LEWISTON ME 04240

Officer/Director/Trustee Five

NA NA
NA
NA
NA ME 04240

Organization’s website HTTPS://SITES.GOOGLE.COM/VIEW/LEWISTONAREAYOUTHFOOTBALL
Organization’s email LEWISTONYOUTHFOOTBALL@GMAIL.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 4/18/2017
Organization Incorporation State ME
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 No
Seeking Section 7 Reinstatement No
Correctness Declaration Yes
Signature Name
Signature Title
Signature Date

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