FORM 1023-EZ for PANTHERS LACROSSE

Field Data
EIN 83-1232039
Case Number EO-2018208-000340
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name PANTHERS LACROSSE
Organization’s Mailing Address 6244 WILD HERON WAY
City COLLEGE GROVE
State TN
ZIP 37064
Accounting period End 12
Primary contact name STACI EGGLETON
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

KIMBERLY BARNETT
PRESIDENT
2145 ALBANY DRIVE
FRANKLIN TN 37064

Officer/Director/Trustee Two

STACI EGGLETON
SECRETARY
6142 STAGS LEAP WAY
FRANKLIN TN 37064

Officer/Director/Trustee Three

JENNIFER SULLIVAN
TREASURER
6244 WILD HERON WAY
COLLEGE GROVE TN 37046

Organization’s website
Organization’s email PANTHERBOYSLACROSSE@GMAIL.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 7/17/18
Organization Incorporation State TN
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 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 STACI EGGLETON
Signature Title SECRETARY
Signature Date 7/25/18

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