FORM 1023-EZ for JOHNSTOWN YOUTH LACROSSE

Field Data
EIN 36-4679822
Case Number EO-2018024-000242
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name JOHNSTOWN YOUTH LACROSSE
Organization’s Mailing Address 7 EAST MONTGOMERY STREET
City JOHNSTOWN
State NY
ZIP 12095
Accounting period End 12
Primary contact name MICHAEL HAVERLY
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

PAUL CONNELIE
PRESIDENT
403 SOUTH WILLIAM STREET
JOHNSTOWN NY 12095

Officer/Director/Trustee Two

MICHAEL HAVERLY
TREASURER
7 EAST MONTGOMERY STREET
JOHNSTOWN NY 12095

Officer/Director/Trustee Three

BETH CONNELIE
PROGRAM COORDINATOR
403 SOUTH WILLIAM STREET
JOHNSTOWN NY 12095

Organization’s website
Organization’s email
Organization Incorporated No
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 1/1/16
Organization Incorporation State NY
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code N50 - Recreational, Pleasure, or Social Club
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 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 MICHAEL HAVERLY
Signature Title TREASURER
Signature Date 1/22/18

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