FORM 1023-EZ for YUBA SUTTER YOUTH LACROSSE

Field Data
EIN 47-3185324
Case Number EO-2015091-000146
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name YUBA SUTTER YOUTH LACROSSE
Organization’s Mailing Address 1000 LINCOLN RD STE H PMB 102
City YUBA CITY
State CA
ZIP 95991
Accounting period End 6
Primary contact name RYAN STEWART
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

RYAN STEWART
PRESIDENT
1000 LINCOLN RD STE H PMB 102
YUBA CITY CA 95991

Officer/Director/Trustee Two

ERIC SMITH
VICE PRESIDENT
1000 LINCOLN RD STE H PMB 102
YUBA CITY CA 95991

Officer/Director/Trustee Three

JUANITA PIVODA
TREASURER
1000 LINCOLN RD STE H PMB 102
YUBA CITY CA 95991

Officer/Director/Trustee Four

META GUTIERREZ
SECRETARY
1000 LINCOLN RD STE H PMB 102
YUBA CITY CA 95991

Officer/Director/Trustee Five

ROYCE MAYO
MEDIA/FUNDRAISING COORDINATOR
1000 LINCOLN RD STE H PMB 102
YUBA CITY CA 95991

Organization’s website WWW.YCLAX.COM
Organization’s email YUBACITYLAX@GMAIL.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 2/20/2015
Organization Incorporation State CA
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: 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
Signature Title
Signature Date

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