FORM 1023-EZ for MHS BOYS LAX CLUB

Field Data
EIN 47-5375040
Case Number EO-2016148-000213
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name MHS BOYS LAX CLUB
Organization’s Mailing Address PO BOX 59
City SEA GIRT
State NJ
ZIP 08750
Accounting period End 1
Primary contact name NICOLE LOUGHREY EA
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

ROBYN KRUEGER
CO-PRESIDENT
152 FLETCHER AVENUE
MANASQUAN NJ 08736-3231

Officer/Director/Trustee Two

HEATHER WISEMAN
CO-PRESIDENT
66 CURTIS AVE
MANASQUAN NJ 08736-3502

Officer/Director/Trustee Three

ELLEN LEBLANC
CO-VICE PRESIDENT
3 SEQUOIA COURT
BRIELLE NJ 08730-1524

Officer/Director/Trustee Four

SHEILA FRANCES SARNASI
CO-VICE PRESIDENT
647 OCEANVIEW ROAD
BRIELLE NJ 08730-1220

Officer/Director/Trustee Five

TIMOTHY MCELDUFF
TREASURER
610 NEW YORK BLVD
SEA GIRT NJ 08750-1421

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 5/25/2016
Organization Incorporation State NJ
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code N11 - Single Organization Support
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 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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