FORM 1023-EZ for EXETER YOUTH LACROSSE INC

Field Data
EIN 47-3545485
Case Number EO-2015112-000248
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name EXETER YOUTH LACROSSE INC
Organization’s Mailing Address 31 BEECHAM RD
City READING
State PA
ZIP 19606-9557
Accounting period End 12
Primary contact name DAVID BREEN
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

DIANA GROGESKY
PRESIDENT
120 CONSTITUTION AVE
READING PA 19606-9557

Officer/Director/Trustee Two

BRYAN WALT
VICE PRESIDENT BOYS
31 BEECHAM ROAD
READING PA 19606-9557

Officer/Director/Trustee Three

JAMES ALGEO
VICE PRESIDENT GIRLS
41 ELK COURT
READING PA 19606-9557

Officer/Director/Trustee Four

LISA BOYER
SECRETARY
70 RUGBY ROAD
BIRDSBORO PA 19508-9442

Officer/Director/Trustee Five

DAVID BREEN
TREASURER
50 DEVON DRIVE
READING PA 19606-9557

Organization’s website
Organization’s email dbreen@cc-techgroup.com
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 2/23/2015
Organization Incorporation State PA
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 No
Correctness Declaration Yes
Signature Name
Signature Title
Signature Date

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