FORM 1023-EZ for YOUTH LACROSSE OF AMESBURY INC

Field Data
EIN 85-2103959
Case Number EO-2020206-000180
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name YOUTH LACROSSE OF AMESBURY INC
Organization’s Mailing Address 31 PAGE FARM ROAD
City AMESBURY
State MA
ZIP 01913
Accounting period End 12
Primary contact name LAURIE H KNAPP CPA
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

CHRIS HELINE
PRESIDENT
31 PAIGE FARM ROAD
AMESBURY MA 01913

Officer/Director/Trustee Two

JEFF MANGINI
TREASURER
26 WHITTIER STREET
AMESBURY MA 01913

Officer/Director/Trustee Three

GEORGE WHITE
VICE PRESIDENT
11 CALIFORNIA STREET
AMESBURY MA 01913

Officer/Director/Trustee Four

STEPHANIE WHITE
DIRECTOR
11 CALIFORNIA STREET
AMESBURY MA 01913

Officer/Director/Trustee Five

CHRIS BEACH
DIRECTOR
31 1/2 FERN AVE
AMESBURY MA 01913

Organization’s website
Organization’s email AYLACROSSE@GMAIL.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 1/28/2020
Organization Incorporation State MA
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code B80 - Student Services, Organizations of Students
Organization’s purpose Charitable: Yes
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 CHRIS HELINE
Signature Title PRESIDENT
Signature Date 7/22/2020

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