FORM 1023-EZ for ST MARYS COUNTY YOUTH LACROSSE CLUBINC

Field Data
EIN 52-1965530
Case Number EO-2015079-000279
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name ST MARYS COUNTY YOUTH LACROSSE CLUBINC
Organization’s Mailing Address 23161 PINEY WOOD CIRCLE
City CALIFORNIA
State MD
ZIP 20619
Accounting period End 12
Primary contact name JOSEPH KUBINEC
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

DONALD BEHRENS
PRESIDENT
23161 PINEY WOOD CIRCLE
CALIFORNIA MD 20619

Officer/Director/Trustee Two

JOSEPH KUBINEC
TREASURER
25793 WHISKEY CREEK ROAD
HOLLYWOOD MD 20636

Officer/Director/Trustee Three

KELLY KIBLER
VICE PRESIDENT
40977 PIPIT LANE
LEONARDTOWN MD 20650

Officer/Director/Trustee Four

ROBYN SOHNE
CORPORATE SECRETARY
21750 PINEHURST LANE
LEONARDTOWN MD 20650

Organization’s website WWW.SMYLC.ORG
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 8/10/1995
Organization Incorporation State MD
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code N60 - Amateur Sports Clubs, Leagues, N.E.C.
Organization’s purpose Charitable: No
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 Yes
Correctness Declaration Yes
Signature Name
Signature Title
Signature Date

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