FORM 1023-EZ for KEARSARGE YOUTH HOCKEY ASSOCIATION

Field Data
EIN 20-0354224
Case Number EO-2016357-000134
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name KEARSARGE YOUTH HOCKEY ASSOCIATION
Organization’s Mailing Address PO BOX 1771
City NEW LONDON
State NH
ZIP 03257-1771
Accounting period End 12
Primary contact name VICTOR PRIETO
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

BURTON KIRKWOOD
PRESIDENT
PO BOX 1771
NEW LONDON NH 03257-1771

Officer/Director/Trustee Two

RACHEL HAMMOND
TREASURER
PO BOX 1771
NEW LONDON NH 03257-1771

Officer/Director/Trustee Three

MARK LYDEN
VICE PRESIDENT
PO BOX 1771
NEW LONDON NH 03257-1771

Officer/Director/Trustee Four

MICHAEL VAN VRANKIN
SECRETARY
PO BOX 1771
NEW LONDON NH 03257-1771

Officer/Director/Trustee Five

VICTOR PRIETO
DIRECTOR
PO BOX 1771
NEW LONDON NH 03257-1771

Organization’s website WWW.KYHA.ORG
Organization’s email
Organization Incorporated No
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 11/6/1975
Organization Incorporation State NH
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code N68 - Winter Sports (Snow and Ice)
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 Yes
Correctness Declaration Yes
Signature Name
Signature Title
Signature Date

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