FORM 1023-EZ for GLEN ROCK LACROSSE ASSOCIATION

Field Data
EIN 13-4091525
Case Number EO-2019192-000362
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name GLEN ROCK LACROSSE ASSOCIATION
Organization’s Mailing Address 233 ROCK ROAD PO BOX 125
City GLEN ROCK
State NJ
ZIP 7452-1708
Accounting period End 9
Primary contact name PATRICK DOYLE
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

PATRICK DOYLE
PRESIDENT
141 BERKELEY PLACE
GLEN ROCK NJ 7452-1708

Officer/Director/Trustee Two

DAN ADAMEK
GIRLS COMMISSIONER
83 CENTRAL AVENUE
GLEN ROCK NJ 7452-1708

Officer/Director/Trustee Three

MATT DEELY
BOYS COMMISSIONER
72 BOULEVARD
GLEN ROCK NJ 7452-1708

Officer/Director/Trustee Four

DEBBIE HOLMAN
TREASURER
12 MIDWOOD ROAD
GLEN ROCK NJ 7452-1708

Officer/Director/Trustee Five

JESSICA TAROMINA
OPERATIONS LEAD
25 YARDLEY COURT
GLEN ROCK NJ 7452-1708

Organization’s website WWW.GLENROCKLAX.COM
Organization’s email
Organization Incorporated No
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 2/1/00
Organization Incorporation State NJ
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code N50 - Recreational, Pleasure, or Social Club
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 Yes
Seeking Section 7 Reinstatement No
Correctness Declaration Yes
Signature Name PATRICK DOYLE
Signature Title PRESIDENT
Signature Date 7/9/19

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