FORM 1023-EZ for COASTAL RAYS LACROSSE

Field Data
EIN 85-1466730
Case Number EO-2021099-001865
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name COASTAL RAYS LACROSSE
Organization’s Mailing Address 505 BAYFIELD DRIVE
City WILMINGTON
State NC
ZIP 28411
Accounting period End 12
Primary contact name TRACIE BRISSON
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

BEAU MCCAFFREY
PRESIDENT
7512 DUNBAR ROAD
WILMINGTON NC 28411

Officer/Director/Trustee Two

CHRIS SMITH
VICE PRESIDENT
803G SOUTH COLLEGE ROAD
WILMINGTON NC 28403

Officer/Director/Trustee Three

JANET CRONEMILLER
SECRETARY
505 BAYFIELD DRIVE
WILMINGTON NC 28411

Officer/Director/Trustee Four

KIM BURGHARDT
TREASURER
6704 YELLOW BELL ROAD
WILMINGTON NC 28411

Officer/Director/Trustee Five

KEITH PERRY
OFFICER
803G SOUTH COLLEGE ROAD
WILMINGTON NC 28403

Organization’s website COASTALRAYSLAX.ORG
Organization’s email COASTALRAYSLACROSSE@GMAIL.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 6/16/2020
Organization Incorporation State NC
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code O22 - Girls Clubs
Organization’s purpose Charitable: No
Religious: No
Educational: No
Scientific: No
Literary: No
Public Safety: No
Amateur Sports: Yes
Cruelty Prevention: No
Qualify For Exemption No
Legislation influence No
Compensation of Officer director trustee No
Donation of funds Yes
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 JANET CRONEMILLER
Signature Title SECRETARY
Signature Date 3/22/2021

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