FORM 1023-EZ for ALDER YOUTH LACROSSE CLUB

Field Data
EIN 84-4053616
Case Number EO-2019357-000538
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name ALDER YOUTH LACROSSE CLUB
Organization’s Mailing Address 8845 SMITH CALHOUN RD
City PLAIN CITY
State OH
ZIP 43064
Accounting period End 12
Primary contact name TROY CAMERON
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

TROY CAMERON
TREASURER
8845 SMITH CALHOUN RD
PLAIN CITY OH 43064

Officer/Director/Trustee Two

JASON ARBOGAST
DIRECTOR
227 WILLOWBROOK CT
PLAIN CITY OH 43064

Organization’s website
Organization’s email
Organization Incorporated No
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 12/20/2019
Organization Incorporation State OH
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: Yes
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 JASON ARBOGAST
Signature Title DIRECTOR
Signature Date 12/20/2019

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