FORM 1023-EZ for DUDLEY-CHARLTON YOUTH LACROSSE ASSOCIATION

Field Data
EIN 32-0325598
Case Number EO-2016041-000268
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name DUDLEY-CHARLTON YOUTH LACROSSE ASSOCIATION
Organization’s Mailing Address 153 BAKER POND ROAD
City DUDLEY
State MA
ZIP 01571-6219
Accounting period End 12
Primary contact name CHRISTINE BROSNIHAN - ESQUIRE
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

MARK KELLEY
PRESIDENT
153 BAKER POND ROAD
DUDLEY MA 01571-6219

Officer/Director/Trustee Two

MARSHA FASALO
TREASURER
23 MICHAEL LANE
DUDLEY MA 01571-5885

Officer/Director/Trustee Three

LISA FITTON
CLERK
42 NELSON STREET
WEBSTER MA 01570-1817

Officer/Director/Trustee Four

MATTHEW QUINN
VICE PRESIDENT
6 ROCKY ROAD
DUDLEY MA 01571-6036

Officer/Director/Trustee Five

THOMAS FASALO
DIRECTOR
23 MICHAEL LANE
DUDLEY MA 01571-5885

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 1/25/2016
Organization Incorporation State MA
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 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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