FORM 1023-EZ for BRYAN STATION MIDDLE SCHOOL BOYS LACROSSE INC

Field Data
EIN 82-3655103
Case Number EO-2018039-000091
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name BRYAN STATION MIDDLE SCHOOL BOYS LACROSSE INC
Organization’s Mailing Address 2113 WOODBRIDGE WAY
City LEXINGTON
State KY
ZIP 40515-1115
Accounting period End 12
Primary contact name HOLLY HODGE
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

GREGORY HODGE
PRESIDENT
2113 WOODBRIDGE WAY
LEXINGTON KY 40515-1115

Officer/Director/Trustee Two

MELINDA GAYNE
VICE-PRESIDENT
1041 MARCO LANE
LEXINGTON KY 40509-2305

Officer/Director/Trustee Three

JAN JOHNSON
SECRETARY
2720 RED LEAF DRIVE
LEXINGTON KY 40509-1749

Officer/Director/Trustee Four

HOLLY HODGE
TREASURER
2113 WOODBRIDGE WAY
LEXINGTON KY 40515-1115

Officer/Director/Trustee Five

SHELBY MARLETTA
DIRECTOR
665 WINTER HILL LANE
LEXINGTON KY 40509-1960

Organization’s website
Organization’s email BSMSLAX@GMAIL.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 2/4/18
Organization Incorporation State KY
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 HOLLY HODGE
Signature Title TREASURER
Signature Date 2/6/18

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