FORM 1023-EZ for VERNON LACROSSE ASSOCIATION

Field Data
EIN 61-1495836
Case Number EO-2017107-000388
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name VERNON LACROSSE ASSOCIATION
Organization’s Mailing Address PO BOX 3007
City VERNON
State CT
ZIP 06066-3007
Accounting period End 12
Primary contact name BRUCE GEZELMAN
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

BRUCE GEZELMAN
PRESIDENT
50 RAMBLING RD
VERNON CT 06066

Officer/Director/Trustee Two

HELEN SZEGDA
TREASURER
52 HANSEN DR
VERNON CT 06066

Officer/Director/Trustee Three

CHRISTINE UPTON
SECREATARY
78 CRESTRIDGE DR
VERNON CT 06066

Officer/Director/Trustee Four

BRIAN JOHNSTON
BOYS DIRECTOR
41 RIDGEWOOD DR
VERNON CT 06066

Officer/Director/Trustee Five

BRANDON ZAVATSKY
GIRLS DIRECTOR
235 CENTER RD
VERNON CT 06066

Organization’s website VERNONLAX.ORC
Organization’s email VERNONLACROSSE@GMAIL.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 10/14/1999
Organization Incorporation State CT
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code N99 - Recreation, Sports, Leisure, Athletics 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 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 No
Correctness Declaration Yes
Signature Name
Signature Title
Signature Date

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