FORM 1023-EZ for YATES CARLTON LAKESHORE SPORTSMANS CLUB INC

Field Data
EIN 30-0692622
Case Number EO-2018085-000273
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name YATES CARLTON LAKESHORE SPORTSMANS CLUB INC
Organization’s Mailing Address 12286 LAKESHORE RD PO BOX 141
City LYNDONVILLE
State NY
ZIP 14098
Accounting period End 12
Primary contact name ROSE DELLINGER
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

JOE KEIFFER
PRESIDENT
15361 MARSH CREEK RD
KENT NY 14477

Officer/Director/Trustee Two

CHRIS POTTER
VICE PRESIDENT
2990 MURDOCK RD
MEDINA NY 14103

Officer/Director/Trustee Three

STEVE COLON
SECRETARY
91 N MAIN STREET PO BOX 597
LYNDONVILLE NY 14098

Officer/Director/Trustee Four

ROSE DELLINGER
TREASURER
2648 SWETT RD
LYNDONVILLE NY 14098

Organization’s website
Organization’s email YCLSC@YAHOO.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 3/24/50
Organization Incorporation State NY
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code N61 - Fishing, Hunting Clubs
Organization’s purpose Charitable: No
Religious: No
Educational: Yes
Scientific: No
Literary: No
Public Safety: No
Amateur Sports: No
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 ROSE DELLINGER
Signature Title TREASURER
Signature Date 3/22/18

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