FORM 1023-EZ for JERSEY CITY LACROSSE INC

Field Data
EIN 27-2450765
Case Number EO-2017251-000539
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name JERSEY CITY LACROSSE INC
Organization’s Mailing Address 321 PACIFIC AVENUE
City JERSEY CITY
State NJ
ZIP 07304
Accounting period End 12
Primary contact name ERIC FLEMING
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

ERIC FLEMING
TRUSTEE, PRESIDENT
245 5TH STREET
JERSEY CITY NJ 07302

Officer/Director/Trustee Two

BRAD KEATING
TRUSTEEE, TREASURER
321 PACIFIC
JERSEY CITY NJ 07304

Officer/Director/Trustee Three

PETER GAGNON
TRUSTEE
51 WAYNE STREET
JERSEY CITY NJ 07302

Organization’s website WWW.JERSEYCITYLACROSSE.ORG
Organization’s email JERSEYCITYLAX@GMAIL.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 10/8/2008
Organization Incorporation State NJ
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: Yes
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 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 Yes
Correctness Declaration Yes
Signature Name
Signature Title
Signature Date

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