FORM 1023-EZ for WAYNE YOUTH LACROSSE CORPORATION

Field Data
EIN 83-4065864
Case Number EO-2019330-000164
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name WAYNE YOUTH LACROSSE CORPORATION
Organization’s Mailing Address PO BOX 133 2263 WALWORTH MARION RD
City WALWORTH
State NY
ZIP 14568
Accounting period End 12
Primary contact name DAN WILDEY
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

DAN WILDEY
PRESIDENT
3652 HIGH ST
WALWORTH NY 14568

Officer/Director/Trustee Two

PAUL RALEIGH
VICE PRESIDENT
7139 SALMON CREEK
WILLIAMSON NY 14589

Officer/Director/Trustee Three

TIFFANY MAGRI
TREASURER
7632 SUMMERS PL
ONTARIO NY 14519

Officer/Director/Trustee Four

JOHN MCGURK
PROGRAM DIRECTOR
3745 WALWORTH-ONTARIO RD
WALWORTH NY 14568

Officer/Director/Trustee Five

KELLY ENGERT
SECRETARY
5978 TRILLIUM TRAIL
ONTARIO NY 14519

Organization’s website WAYNEYOUTHLACROSSE.COM
Organization’s email WAYNEYOUTHLAX@GMAIL.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 3/15/19
Organization Incorporation State NY
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code O50 - Youth Development Programs, Other
Organization’s purpose Charitable: Yes
Religious: No
Educational: No
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 Yes
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 No
Benefit of College No
Private Foundation 508(e) Yes
Seeking Retroactive Reinstatement No
Seeking Section 7 Reinstatement No
Correctness Declaration Yes
Signature Name TIFFANY MAGRI
Signature Title TREASURER
Signature Date 11/21/19

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