FORM 1023-EZ for HFL YOUTH LACROSSE INC

Field Data
EIN 45-2087041
Case Number EO-2017142-000501
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name HFL YOUTH LACROSSE INC
Organization’s Mailing Address PO BOX 515
City LIMA
State NY
ZIP 14485-5015
Accounting period End 12
Primary contact name JERRY ROGERS
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

JACK BEANEY
PRESIDENT
8951 CRATSLEY HILL ROAD
SPRINGWATER NY 14560

Officer/Director/Trustee Two

KEVIN OCONNEL
VICE PRESIDENT
315 REEVES ROAD
HENRIETTA NY 14467

Officer/Director/Trustee Three

KRISTIN BUTKA
VICE PRESIDENT
60 ONTARIO STREET
HONEOYE FALLS NY 14472

Officer/Director/Trustee Four

JERRY ROGERS
TREASURER
7733 EAST MAIN STREET
LIMA NY 14485

Officer/Director/Trustee Five

LEANNE RORICK
SECRETARY
10 OLD FRENCH ROAD
HONEOYE FALLS NY 14472

Organization’s website HFLLAX.ORG
Organization’s email JROGER04@HARRIS.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 3/8/2011
Organization Incorporation State NY
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code O50 - Youth Development Programs, Other
Organization’s purpose Charitable: Yes
Religious: No
Educational: No
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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