FORM 1023-EZ for BARNSTABLE YOUTH LACROSSE INC

Field Data
EIN 37-1647304
Case Number EO-2019036-000771
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name BARNSTABLE YOUTH LACROSSE INC
Organization’s Mailing Address 52 SURREY LANE
City BARNSTABLE
State MA
ZIP 2630
Accounting period End 12
Primary contact name ANDREW F MILLER CPA PC
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

KEVIN ONEIL
PRESIDENT
45 STRAWBERRY HILL ROAD
HYANNIS MA 2601

Officer/Director/Trustee Two

MARK GERMANI
VICE PRESIDENT
114 FIRST AVENUE
OSTERVILLE MA 2655

Officer/Director/Trustee Three

NATALIE GALVIN
TREASURER/CLERK/DIRECTOR
52 SURREY LANE
BARNSTABLE MA 2630

Officer/Director/Trustee Four

MATT DEDECKO
DIRECTOR
PO BOX 409
OSTERVILLE MA 2655

Officer/Director/Trustee Five

RENEE DEDECKO
DIRECTOR
PO BOX 409
OSTERVILLE MA 2655

Organization’s website WWW.BARNSTABLE-LAX.USL.LA
Organization’s email NATGALVIN58@GMAIL.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 3/23/03
Organization Incorporation State MA
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code N99 - Recreation, Sports, Leisure, Athletics N.E.C.
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 NATALIE GALVIN
Signature Title TREASURER/CLERK/DIRECTOR
Signature Date 1/24/19

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