FORM 1023-EZ for DOUG MACKENZIE LACROSSE FUND INC

Field Data
EIN 47-1458098
Case Number EO-2014248-000443
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name DOUG MACKENZIE LACROSSE FUND INC
Organization’s Mailing Address P O BOX 173
City CASTLETON
State VT
ZIP 05735
Accounting period End 12
Primary contact name DAVID GARDYNE
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

THOMAS HARTY
PRESIDENT
1 SPARROW LANE
GREENWICH CT 06303-3923

Officer/Director/Trustee Two

ROBERT FERRO
VICE PRESIDENT
18 CLIFFORD STREET
WESTBROOK ME 04092-4704

Officer/Director/Trustee Three

DAVID GARDYNE
TREASURER
1361 COLONIAL DRIVE
RUTLAND VT 05701-9578

Officer/Director/Trustee Four

WAYNE HRYDZIUSKO
SECRETARY
1833 HALSTEAD BLVD 503
TALLAHASSEE FL 32309-3472

Organization’s website N/A
Organization’s email DOUGFUND2014@GMAIL.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 7/18/2014
Organization Incorporation State VT
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code N11 - Single Organization Support
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 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
Signature Title
Signature Date

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