FORM 1023-EZ for YORKTOWN LACROSSE 50TH ANNIVERSARYINC

Field Data
EIN 47-3122417
Case Number EO-2015166-000300
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name YORKTOWN LACROSSE 50TH ANNIVERSARYINC
Organization’s Mailing Address 334 UNDERHILL AVENUE 4-A
City YORKTOWN HEIGHTS
State NY
ZIP 10598
Accounting period End 12
Primary contact name MITCHELL LIEBERMAN
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

MITCHELL LIEBERMAN
DIRECTOR
1844 BLOSSOM COURT
YORKTOWN HEIGHTS NY 10598

Officer/Director/Trustee Two

DANIEL KAISER
DIRECTOR
141 SYDNEY COURT
YORKTOWN HEIGHTS NY 10598

Officer/Director/Trustee Three

JOHN MARTINO
DIRECTOR
418 WEST MARION STREET
LANCASTER PA 17603

Officer/Director/Trustee Four

ROBERT VINSON
DIRECTOR
23 VERNON STREET
PLYMOUTH MA 02360

Officer/Director/Trustee Five

TEDDY GEORGALAS
DIRECTOR
178 NORTH RIVER DRIVE
BEACON NY 10509

Organization’s website HTTP://WWW.YORKTOWNLACROSSE50.COM/
Organization’s email TOWNLAX50@GMAIL.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 1/28/2015
Organization Incorporation State NY
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code A11 - Single Organization Support
Organization’s purpose Charitable: Yes
Religious: No
Educational: No
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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