FORM 1023-EZ for CHIAWANA LACROSSE CLUB

Field Data
EIN 81-3668839
Case Number EO-2016260-000141
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name CHIAWANA LACROSSE CLUB
Organization’s Mailing Address 4703 SHORELINE CT
City PASCO
State WA
ZIP 99301
Accounting period End 6
Primary contact name AMY DONALDSON
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

OWEN SCHWENDIMAN
PRESIDENT
4516 ARABIAN LN
PASCO WA 99301

Officer/Director/Trustee Two

SHANNON SULLIVAN
VICE PRESIDENT
4703 SHORELINE CT
PASCO WA 99301

Officer/Director/Trustee Three

AMY DONALDSON
SECRETARY/TREASURER
4070 ROSENCRANS RD
WEST RICHLAND WA 99353

Organization’s website WWW.CHIAWANALAX.COM
Organization’s email CHIAWANALAX@HOTMAIL.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 8/25/2016
Organization Incorporation State WA
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: 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 Yes
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
Signature Title
Signature Date

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