FORM 1023-EZ for LAKE VILLA TIMBERWOLVES LACROSSE NFP INC

Field Data
EIN 86-2891769
Case Number EO-2021102-000635
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name LAKE VILLA TIMBERWOLVES LACROSSE NFP INC
Organization’s Mailing Address 357 N CROOKED LAKE LN
City LINDENHURST
State IL
ZIP 60046
Accounting period End 12
Primary contact name JAMES ROCHE
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

JAMES ROCHE
PRESIDENT
107 N CROOKED LAKE LN
LINDENHURST IL 60046

Officer/Director/Trustee Two

RAFAEL MUZONES
TREASURER
357 N CROOKED LAKE LN
LINDENHURST IL 60046

Officer/Director/Trustee Three

SEAN RANK
SECRETARY
340 N CROOKED LAKE LN
LINDENHURST IL 60046

Officer/Director/Trustee Four

BRIAN WISCHNIA
DIRECTOR
47 FAIRFAX ROAD
FOX LAKE IL 60020

Officer/Director/Trustee Five

COLLEEN SKOTNICKI
DIRECTOR OF OPERATIONS
1250 GOLDFINCH LANE
ANTIOCH IL 60002

Organization’s website
Organization’s email jroche175@gmail.com
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 3/16/2021
Organization Incorporation State IL
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: 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 No
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 JAMES ROCHE
Signature Title PRESIDENT
Signature Date 4/1/2021

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