FORM 1023-EZ for UNIFIED LACROSSE

Field Data
EIN 47-2997123
Case Number EO-2015135-000120
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name UNIFIED LACROSSE
Organization’s Mailing Address 6448 S HERITAGE PLACE WEST
City CENTENNIAL
State CO
ZIP 80111
Accounting period End 12
Primary contact name DORI GHARRITY
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

GRIFFIN GHARRITY
PRESIDENT-FOUNDER
6448 S HERITAGE PLACE WEST
CENTENNIAL CO 80111

Officer/Director/Trustee Two

ALEC BILDSTEIN
TREASURER
5460 S LOCUST STREET
GREENWOOD VILLAGE CO 80111

Officer/Director/Trustee Three

JOHN ADAIR
CHAIRPERSON OF GOVERNING BOARD
26 YORKSHIRE DRIVE
HILTON HEAD SC 29928

Officer/Director/Trustee Four

THOMAS MCCOY
BOARD MEMBER
4737 S LAYFAYETTE STREET
CHERRY HILLS VILLAGE CO 80113

Officer/Director/Trustee Five

STEVE NELLINGAN
BOARD MEMEBER
4887 TULE LAKE DRIVE
LITTLETON CO 80123

Organization’s website UNIFIEDLACROSSE.COM
Organization’s email COTEAM@UNIFIEDLACROSSE.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 1/25/2015
Organization Incorporation State CO
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: 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 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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