FORM 1023-EZ for KITTATINNY YOUTH LACROSSE CLUB

Field Data
EIN 20-8487790
Case Number EO-2015299-000219
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name KITTATINNY YOUTH LACROSSE CLUB
Organization’s Mailing Address PO BOX 503
City AUGUSTA
State NJ
ZIP 07822
Accounting period End 12
Primary contact name KERSTEN SHOTWELL
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

JOHN MAJORS
PRESIDENT
23 PLAZA DRIVE
NEWTON NJ 07860

Officer/Director/Trustee Two

JEFF SHOTWELL
VICE PRESIDENT
535 RIDGE ROAD
NEWTON NJ 07860

Officer/Director/Trustee Three

KERSTEN SHOTWELL
TREASURER
535 RIDGE ROAD
NEWTON NJ 07860

Officer/Director/Trustee Four

MAUREEN RIVA
SECRETARY
917 WEST WALNUT DRIVE
NEWTON NJ 07860

Organization’s website KITTATINNYLAX.COM
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 11/20/2007
Organization Incorporation State NJ
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: 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 Yes
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 Yes
Correctness Declaration Yes
Signature Name
Signature Title
Signature Date

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