FORM 1023-EZ for SAINT VIATOR FIELD HOCKEY CLUB

Field Data
EIN 82-2357534
Case Number EO-2017216-000122
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name SAINT VIATOR FIELD HOCKEY CLUB
Organization’s Mailing Address 45 KATRINA LANE
City SLEEPY HOLLOW
State IL
ZIP 60118
Accounting period End 12
Primary contact name KRISTEN RYMARCSUK
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

NATALIE BENAMOU
PRESIDENT
45 KATRINA LANE
SLEEPY HOLLOW IL 60118

Officer/Director/Trustee Two

KRISTEN RYMARCSUK
TREASURER
312 PRAIRIE LANE
LAKE ZURICH IL 60047

Officer/Director/Trustee Three

JIM RYMARCSUK
BOARD MEMBER
312 PRAIRIE LANE
LAKE ZURICH IL 60047

Officer/Director/Trustee Four

KATHY GALLAGHER
BOARD MEMBER
917 N FORREST AVE
ARLINGTON HEIGHTS IL 60004

Officer/Director/Trustee Five

CARRIE FLEMING
SECRETARY
121 WHISPERING OAKS LANE
BARRINGTON IL 60010

Organization’s website HTTPS://WWW.SAINTVIATORFIELDHOCKEY.COM/
Organization’s email
Organization Incorporated No
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 7/5/2017
Organization Incorporation State IL
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: 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 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 No
Benefit of College No
Private Foundation 508(e) Yes
Seeking Retroactive Reinstatement No
Seeking Section 7 Reinstatement No
Correctness Declaration Yes
Signature Name
Signature Title
Signature Date

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