FORM 1023-EZ for BELCHERTOWN LACROSSE ASSOCIATION INC

Field Data
EIN 10-0894322
Case Number EO-2015049-000250
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name BELCHERTOWN LACROSSE ASSOCIATION INC
Organization’s Mailing Address 120 NORTH MAIN STREET
City BELCHERTOWN
State MA
ZIP 01007
Accounting period End 12
Primary contact name GREGORY GALANEK CPA
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

REBECCA PEASE
PRESIDENT
120 NORTH MAIN STREET
BELCHERTOWN MA 01007

Officer/Director/Trustee Two

CHRIS IRVING
VICE PRESIDENT
10 CHESTNUT DRIVE
BELCHERTOWN MA 01007

Officer/Director/Trustee Three

LISA WORDSWORTH
TREASURER
81 ESKETT STREET
BELCHERTOWN MA 01007

Officer/Director/Trustee Four

CAREY DOUGLAS
SECREATRY
35 SPRING HILL ROAD
BELCHERTOWN MA 01007

Organization’s website WWW.BELCHERTOWNLACROSSE.ORG
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 1/7/2010
Organization Incorporation State MA
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 Yes
Seeking Section 7 Reinstatement No
Correctness Declaration Yes
Signature Name
Signature Title
Signature Date

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