FORM 1023-EZ for CAROLINAS EXCEPTIONAL YOURTH ATHLETES

Field Data
EIN 47-2808385
Case Number EO-2015069-000191
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name CAROLINAS EXCEPTIONAL YOURTH ATHLETES
Organization’s Mailing Address 3901 FRANKLIN MEADOWS DRIVE
City MATTHEWS
State NC
ZIP 28105
Accounting period End 12
Primary contact name KRIS SHIELDS
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

CONNIE MULROY
PRESIDENT
8012 GLAMMORGAN LANE
MATTHEWS NC 28104-0641

Officer/Director/Trustee Two

TRACEY ARNONE
VICE PRESIDENT
521 WYNDHAM LANE
MARVIN NC 28173-6632

Officer/Director/Trustee Three

KRIS SHIELDS
SECRETARY
4121 MCCAMEY DRIVE
MATTHEWS NC 28104-6298

Officer/Director/Trustee Four

PATRICIA STERN
TREASURER
2300 OAKMEADE DRIVE
CHARLOTTE NC 28270-9557

Officer/Director/Trustee Five

RENE KATKOWSKI
REPORTER
3901 FRANKLIN MEADOWS DR
MATTHEWS NC 28105-6298

Organization’s website WWW.CEYATHLETES.ORG
Organization’s email CEYATHLETES@GMAIL.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 1/15/2015
Organization Incorporation State NC
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code P82 - Developmentally Disabled Centers, Services
Organization’s purpose Charitable: Yes
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 Yes
Donation of funds Yes
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
Signature Title
Signature Date

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