FORM 1023-EZ for THOMAS JOHNSON YOUTH ATHLETIC ASSOCIATION INC

Field Data
EIN 84-4686396
Case Number EO-2020122-000108
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name THOMAS JOHNSON YOUTH ATHLETIC ASSOCIATION INC
Organization’s Mailing Address 1911 FIELDSTONE WAY
City FREDERICK
State MD
ZIP 21702
Accounting period End 12
Primary contact name CIJI MASSER
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

CIJI MASSER
COMMISSIONER
1911
FREDERICK MD 21702

Officer/Director/Trustee Two

JOSHUA MASSER
DIRECTOR OF OPERATIONS
1911 FIELDSTONE WAY
FREDERICK MD 21702

Officer/Director/Trustee Three

SHELLEY FREEZE
SECRETARY
1911 FIELDSTONE WAY
FREDERICK MD 21702

Officer/Director/Trustee Four

MICHELLE KIM AMBUSH
TREASURER
1911 FIELDSTONE WAY
FREDERICK MD 21702

Officer/Director/Trustee Five

THOMAS WALMSLEY
DIRECTOR OF COACHES
1911 FIELDSTONE WAY
FREDERICK MD 21702

Organization’s website
Organization’s email TJYAAFOOTBALL@GMAIL.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 2/13/2020
Organization Incorporation State MD
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code N65 - Football Clubs, Leagues
Organization’s purpose Charitable: No
Religious: No
Educational: No
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 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 CIJI MASSER
Signature Title COMMISSIONER
Signature Date 4/29/2020

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