FORM 1023-EZ for EXCALIBUR YOUTH SPORTS ASSOCIATIONINC

Field Data
EIN 81-0824619
Case Number EO-2016039-000189
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name EXCALIBUR YOUTH SPORTS ASSOCIATIONINC
Organization’s Mailing Address 15503 WYLIE ROAD
City BRANDYWINE
State MD
ZIP 20613
Accounting period End 12
Primary contact name RAYMOND DELEONARD
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

RAYMOND DELEONARD
PRESIDENT/DIRECTOR
4936 CORONADO COURT
WALDORF MD 20602

Officer/Director/Trustee Two

DAMIEN KING
TREASURER/DIRECTOR
15503 WYLIE ROAD
BRANDYWINE MD 20613

Officer/Director/Trustee Three

JACQUELINE VENIGALLA
SECRETARY/DIRECTOR
3012 DAHOON COURT
WALDORF MD 20603

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 12/15/2015
Organization Incorporation State MD
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code O20 - Youth Centers, Clubs, Multipurpose
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
Signature Title
Signature Date

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