FORM 1023-EZ for SOUTH DAYTON CATHOLIC LACROSSE CLUBINC

Field Data
EIN 46-1058776
Case Number EO-2017040-000204
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name SOUTH DAYTON CATHOLIC LACROSSE CLUBINC
Organization’s Mailing Address P O BOX 752235
City DAYTON
State OH
ZIP 45375
Accounting period End 12
Primary contact name MARK KARGL
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

MIKE DALIDOWICZ
PRESIDENT
1114 WYCLIFFE PLACE
DAYTON OH 45459

Officer/Director/Trustee Two

MARK KARGL
VICE PRESIDENT
916 GREENWAY COURT
MIAMISBURG OH 45342

Officer/Director/Trustee Three

MINDY HEYNE
TREASURER
8282 RHINE WAY
CENTERVILLE OH 45458

Officer/Director/Trustee Four

MIKE KELTOS
BOARD MEMBER
50 KITTY HAWK DRIVE
SPRINGBORO OH 45066

Officer/Director/Trustee Five

BOB WILKE
BOARD MEMBER
765 PLANTATION LANE
KETTERING OH 45419

Organization’s website WWW.SDCLAX.ORG
Organization’s email SDCLAX@GMAIL.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 10/29/2012
Organization Incorporation State OH
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code N70 - Amateur Sports Competitions
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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