FORM 1023-EZ for DELAWARE ROUGH RIDERS HOCKEY CLUB

Field Data
EIN 81-1469705
Case Number EO-2016053-000405
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name DELAWARE ROUGH RIDERS HOCKEY CLUB
Organization’s Mailing Address 33346 MARINA BAY CIRCLE
City MILLSBORO
State DE
ZIP 19966
Accounting period End 1
Primary contact name NICOLE SILICATO-MILLER
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

L NICOLE SILICATO MILLER
PRESIDENT
33346 MARINA BAY CIRCLE
MILLSBORO DE 19966

Officer/Director/Trustee Two

KATHELEEN FREEMAN
TREASURER
1105 COURSEY LANE
DENTON DE 21629

Officer/Director/Trustee Three

THEODORE LAYTON
DIRECTOR AT LARGE
567 HOLLEGER ROAD
MILFORD DE 19963

Officer/Director/Trustee Four

DAN WHEELER
VICE PRESIDENT
21673 HACKNEY CIRCLE
LINCOLN DE 19960

Officer/Director/Trustee Five

JOHN WHEATLEY
SECRETARY
15919 PROGRESS SCHOOL ROAD
BRIDGEVILLE DE 19934

Organization’s website WWW.ROUGHRIDERSYOUTHHOCKEY.COM
Organization’s email INFO@ROUGHRIDERSYOUTHHOCKEY.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 2/15/2016
Organization Incorporation State DE
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code N02 - Management & Technical Assistance
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 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
Signature Title
Signature Date

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