FORM 1023-EZ for SHAWNEE LAX CLUB INC

Field Data
EIN 47-2378185
Case Number EO-2015020-000246
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name SHAWNEE LAX CLUB INC
Organization’s Mailing Address 1752 ROUTE 206
City SOUTHAMPTON
State NJ
ZIP 08088
Accounting period End 6
Primary contact name RONALD M WARREN
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

JAMES GITHENS
PRESIDENT
15 COCHISE CIRCLE
MEDFORD LAKES NJ 08055

Officer/Director/Trustee Two

DENNIS BOYLE
VICE PRESIDENT
11 WESTLAKE AVENUE
MEDFORD NJ 08055

Officer/Director/Trustee Three

LAUREL TYRRELL
SECRETARY
38 SOUTH LAKESIDE WEST
MEDFORD NJ 08055

Officer/Director/Trustee Four

ROBERT BARTHOLOMEW
TREASURER
11 EAST CENTENNIAL DRIVE
MEDFORD NJ 08055

Officer/Director/Trustee Five

CHERI DIGENOVA
TRUSTEE
80 CHICKASAW TRAIL
MEDFORD LAKES NJ 08055

Organization’s website NA
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 10/16/2014
Organization Incorporation State NJ
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code N12 - Fund Raising and/or Fund Distribution
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 Yes
Disaster relief assistance No
One Third Support Public Yes
One Third Support Gifts No
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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