FORM 1023-EZ for TRIAD WOMENS LACROSSE OFFICIALS ASSOCIATION INC

Field Data
EIN 82-3605743
Case Number EO-2018029-000472
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name TRIAD WOMENS LACROSSE OFFICIALS ASSOCIATION INC
Organization’s Mailing Address 815 CENTRAL PARK AVE
City GREENSBORO
State NC
ZIP 27407
Accounting period End 12
Primary contact name KATHLEEN JOHNSTON
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

KATHLEEN JOHNSTON
DIRECTOR/PRESIDENT
815 CENTRAL PARK AVE
GREENSBORO NC 27407

Officer/Director/Trustee Two

BRADLEY SMITH
TREASURER
3901 TANGLE LN
WINSTON-SALEM NC 27106

Officer/Director/Trustee Three

BENITA BOWMAN
SECRETARY
118 ANGLE DR
WINSTON-SALEM NC 27101

Officer/Director/Trustee Four

JASON PHILLIPS
DIRECTOR
815 CENTRAL PARK AVE
GREENSBORO NC 27407

Officer/Director/Trustee Five

PHILIP JOHNSTON
DIRECTOR
815 CENTRAL PARK AVE
GREENSBORO NC 27407

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 12/13/17
Organization Incorporation State NC
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 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 No
Benefit of College No
Private Foundation 508(e) Yes
Seeking Retroactive Reinstatement No
Seeking Section 7 Reinstatement No
Correctness Declaration Yes
Signature Name KATHLEEN JOHNSTON
Signature Title DIRECTOR/PRESIDENT
Signature Date 1/26/18

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