FORM 1023-EZ for PEMBROKE TITANS YOUTH LACROSSE

Field Data
EIN 85-1316036
Case Number EO-2020261-000070
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name PEMBROKE TITANS YOUTH LACROSSE
Organization’s Mailing Address 59 FARMSIDE DRIVE
City PEMBROKE
State MA
ZIP 02359
Accounting period End 8
Primary contact name JENNIFER CONLEY
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

JOSHUA STEELE
PRESIDENT
8 COLONIAL WAY
PEMBROKE MA 02359

Officer/Director/Trustee Two

JENNIFER JONSSON
VICE PRESIDENT
489 CENTER STREET
PEMBROKE MA 02359

Officer/Director/Trustee Three

AMY SOWERSBY
TREASURER
24 ERIKSON LANE
PEMBROKE MA 02359

Officer/Director/Trustee Four

JENNIFER CONLEY
EXECUTIVE ADMINISTRATOR
59 FARMSIDE DRIVE
PEMBROKE MA 02359

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 4/13/2020
Organization Incorporation State MA
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: Yes
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 JENNIFER CONLEY
Signature Title EXECUTIVE ADMINISTRATOR
Signature Date 9/14/2020

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