FORM 1023-EZ for KINGS YOUTH LACROSSE

Field Data
EIN 85-3940210
Case Number EO-2021028-000234
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name KINGS YOUTH LACROSSE
Organization’s Mailing Address 1150 FRENCH COURT
City MAINEVILLE
State OH
ZIP 45039
Accounting period End 7
Primary contact name JON FROAH
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

JONATHAN FROAH
PRESIDENT
1150 FRENCH COURT
MAINEVILLE OH 45039

Officer/Director/Trustee Two

BRETT KEPPLER
VICE PRESIDENT
2570 HARVEST LANE
LEBANON OH 45036

Officer/Director/Trustee Three

JENNIFER MACY
SECRETARY
2142 RIVERWOOD TRAILS
KINGS MILLS OH 45034

Officer/Director/Trustee Four

PETE BOUMIS
TREASURER
1187 CRAIG CT
MAINEVILLE OH 45039

Officer/Director/Trustee Five

PHIL POGGI
AT LARGE
4835 RIVERVIEW COURT
SOUTH LEBANON OH 45065

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 10/4/2020
Organization Incorporation State OH
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code O50 - Youth Development Programs, Other
Organization’s purpose Charitable: Yes
Religious: No
Educational: Yes
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 No
Benefit of College No
Private Foundation 508(e) No
Seeking Retroactive Reinstatement No
Seeking Section 7 Reinstatement No
Correctness Declaration Yes
Signature Name PHIL POGGI
Signature Title AT LARGE
Signature Date 12/12/2020

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