FORM 1023-EZ for DEERFIELD YOUTH LACROSSE CLUB

Field Data
EIN 83-3042235
Case Number EO-2019036-000589
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name DEERFIELD YOUTH LACROSSE CLUB
Organization’s Mailing Address 1815 KIEST AVENUE
City NORTHBROOK
State IL
ZIP 60062
Accounting period End 12
Primary contact name EMILY HOYT
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, SECRETARY & DIRECTOR
1815 KIEST AVENUE
NORTHBROOK IL 60062

Officer/Director/Trustee Two

JOSHUA TEPPER
VP, TREASURER AND DIRECTOR
1417 WOODLAND DRIVE
DEERFIELD IL 60015

Officer/Director/Trustee Three

MARC OFFIT
DIRECTOR
324 RAMSAY ROAD
DEERFIELD IL 60015

Officer/Director/Trustee Four

JOEL BRAUNSTEUN
DIRECTOR
27 ABERDEEN COURT
BANNOCKBURN IL 60015

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 12/7/18
Organization Incorporation State IL
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: 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 ROBERT ALLEN
Signature Title PRESIDENT, SECRETARY & DIRECTOR
Signature Date 1/18/19

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