FORM 1023-EZ for NAZARETH SCHOLASTIC LACROSSE ASSOCIATION

Field Data
EIN 83-1547704
Case Number EO-2019060-000355
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name NAZARETH SCHOLASTIC LACROSSE ASSOCIATION
Organization’s Mailing Address 130 5TH STSREET
City NAZARETH
State PA
ZIP 18064-2536
Accounting period End 12
Primary contact name SUSAN D JARVIS CPA CVA
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

BRIAN WITMER
DIRECTOR
130 5TH STREET
NAZARETH PA 18064-2536

Officer/Director/Trustee Two

ANDREW KROECKEL
DIRECTOR
411 MAIN STREET APT 403
STROUDSBURG PA 18360

Organization’s website
Organization’s email PSULAX16@RCN.COM
Organization Incorporated No
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 2/26/19
Organization Incorporation State PA
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code N66 - Tennis, Racquet Sports Clubs, Leagues
Organization’s purpose Charitable: Yes
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 Yes
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 BRIAN WITMER
Signature Title DIRECTOR
Signature Date 2/27/19

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