FORM 1023-EZ for LAXCATS LACROSSE INC

Field Data
EIN 82-5206986
Case Number EO-2019035-000896
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name LAXCATS LACROSSE INC
Organization’s Mailing Address 12221 BROOK FOREST CIR
City PICKERINGTON
State OH
ZIP 43147
Accounting period End 12
Primary contact name SCOTT WHITT
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

SCOTT WHITT
PRESIDENT - TREASURER
12221 BROOK FOREST CIR
PICKERINGTON OH 43147

Officer/Director/Trustee Two

CHRISTINE MILLER
GIRLS DIRECTOR - SECRETARY
3575 MEADOWGATE CT
PICKERINGTON OH 43147

Officer/Director/Trustee Three

RICH GILMORE
VICE PRESIDENT
3196 MAHAFFEY COURT
PICKERINGTON OH 43147

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 4/17/18
Organization Incorporation State OH
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code N50 - Recreational, Pleasure, or Social Club
Organization’s purpose Charitable: Yes
Religious: No
Educational: No
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 Yes
Gaming Activity No
Disaster relief assistance No
One Third Support Public Yes
One Third Support Gifts No
Benefit of College No
Private Foundation 508(e) No
Seeking Retroactive Reinstatement No
Seeking Section 7 Reinstatement No
Correctness Declaration Yes
Signature Name SCOTT WHITT
Signature Title PRESIDENT - TREASURER
Signature Date 1/14/19

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