FORM 1023-EZ for RIVERSIDE BOYS LACROSSE CLUB

Field Data
EIN 81-0982882
Case Number EO-2017338-000208
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name RIVERSIDE BOYS LACROSSE CLUB
Organization’s Mailing Address PO BOX 638
City PAINESVILLE
State OH
ZIP 44077
Accounting period End 12
Primary contact name JORDAN LEVY
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

JORDAN LEVY
TREASURER
1500 HIDEAWAY COVE
PAINESVILLE OH 44077

Officer/Director/Trustee Two

ERIC MAHLER
VICE PRESIDENT
12282 MEREDITH LANE
CONCORD OH 44077

Officer/Director/Trustee Three

MIKE SWANK
PRESIDENT
115 BRANCH AVE
PAINESVILLE OH 44077

Organization’s website HTTP://RIVERSIDELACROSSE.COM/
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 1/5/2016
Organization Incorporation State OH
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code N12 - Fund Raising and/or Fund Distribution
Organization’s purpose Charitable: Yes
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 Yes
One Third Support Gifts No
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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