FORM 1023-EZ for LINDENWOLD YOUTH ATHLETIC ASSOCIATION

Field Data
EIN 81-1075920
Case Number EO-2021090-000778
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name LINDENWOLD YOUTH ATHLETIC ASSOCIATION
Organization’s Mailing Address 39 CHISWICK DRIVE
City LINDENWOLD
State NJ
ZIP 08021-5499
Accounting period End 12
Primary contact name RONALD ROEBUCK
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

RONALD ROEBUCK
PRESIDENT
39 CHISWICK DRIVE
LINDENWOLD NJ 08021-5499

Officer/Director/Trustee Two

MICHAEL WILLIAMS
VICE PRESIDENT
2314 N CUTHBERT DRIVE
LINDENWOLD NJ 08021-5499

Officer/Director/Trustee Three

TAALIB HENDERSON
COMMISSIONER
236 AMAN AVENUE
LINDENWOLD NJ 08021-5499

Officer/Director/Trustee Four

SAMANTHA CREITZ
SECRETARY
501 4TH AVENUE
LINDENWOLD NJ 08021-5499

Officer/Director/Trustee Five

JANINE MASCIULLI
TREASURER
1800 LAUREL AVENUE APT 2023
LINDENWOLD NJ 08021-5499

Organization’s website
Organization’s email lindenwold.lyaa@gmail.com
Organization Incorporated No
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 1/16/2016
Organization Incorporation State NJ
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code O99 - Youth Development N.E.C.
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 No
Correctness Declaration Yes
Signature Name RONALD ROEBUCK
Signature Title PRESIDENT
Signature Date 2/17/2021

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