FORM 1023-EZ for AMELIA ISLAND NASSAU COUNTY YOUTH LACROSSE INC

Field Data
EIN 82-3952014
Case Number EO-2018107-000126
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name AMELIA ISLAND NASSAU COUNTY YOUTH LACROSSE INC
Organization’s Mailing Address 861615 N HAMPTON CLUB WAY
City FERNANDINA BEACH
State FL
ZIP 32034
Accounting period End 12
Primary contact name ROBERT ALLEN
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

ROBERT ALLEN
PRESIDENT
861615 N HAMPTON CLUB WAY
FERNANDINA BEACH FL 32034

Organization’s website AMELIAISLANDLACROSSE.ORG
Organization’s email AINCYOUTHLACROSSE@GMAIL.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 10/25/17
Organization Incorporation State FL
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code N99 - Recreation, Sports, Leisure, Athletics N.E.C.
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 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 ROBERT ALLEN
Signature Title PRESIDENT
Signature Date 3/23/18

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