FORM 1023-EZ for SOMERVILLE PARENTS LACROSSE ORGANIZATION

Field Data
EIN 20-0465975
Case Number EO-2017303-000413
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name SOMERVILLE PARENTS LACROSSE ORGANIZATION
Organization’s Mailing Address 69 SUSQUEHANNA TRAIL
City BRANCHBURG
State NJ
ZIP 08876
Accounting period End 12
Primary contact name MARY JANE ROGERS
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

MARY JANE ROGERS
TREASURER
69 SUSQUEHANNA TRAIL
BRANCHBURG NJ 08876

Officer/Director/Trustee Two

SUSAN WILLIAMS
PRESIDENT
54 DREAHOOK ROAD
BRANCHBURG NJ 08876

Officer/Director/Trustee Three

KELLY MULLIGAN
HEAD COACH
222 DAVENPORT STREET
SOMERVILLE NJ 08876

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 12/10/2003
Organization Incorporation State NJ
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: 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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