FORM 1023-EZ for CENTERVILLE YOUTH ATHLETIC ASSOCIATION

Field Data
EIN 83-2666994
Case Number EO-2018348-000175
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name CENTERVILLE YOUTH ATHLETIC ASSOCIATION
Organization’s Mailing Address 14 MALLARDS CREST CT
City SICKLERVILLE
State NJ
ZIP 8081
Accounting period End 11
Primary contact name COURTLAND SMITH JR
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

COURTLAND SMITH JR
PRESIDENT
14 MALLARDS CREST CT
SICKLERVILLE NJ 8081

Officer/Director/Trustee Two

TAWAND SMITH
SECRETARY
14 MALLARDS CREST CT
SICKLERVILLE NJ 8081

Officer/Director/Trustee Three

BARBARA SMITH
TRESUER
699 FERRY AVENUE
CAMDEN NJ 8014

Officer/Director/Trustee Four

NONE NONE
NONE
NONE
NONE NJ 8081

Officer/Director/Trustee Five

NONE NONE
NONE
NONE
NONE NJ 8081

Organization’s website
Organization’s email CYAA2018@YAHOO.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 11/29/18
Organization Incorporation State NJ
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code O42 - Girl Scouts of the U.S.A.
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 Yes
Benefit of College No
Private Foundation 508(e) No
Seeking Retroactive Reinstatement No
Seeking Section 7 Reinstatement No
Correctness Declaration Yes
Signature Name COURTLAND SMITH JR
Signature Title PRESIDENT
Signature Date 12/12/18

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