FORM 1023-EZ for NATIONAL INTERSCHOLASTIC LACROSSE COACHES ASSOCIATION

Field Data
EIN 46-0873207
Case Number EO-2020009-000243
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name NATIONAL INTERSCHOLASTIC LACROSSE COACHES ASSOCIATION
Organization’s Mailing Address 1553 MORNING SUN DRIVE
City BALLWIN
State MO
ZIP 63021
Accounting period End 12
Primary contact name JOHN A KLEMM
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

REN PETTINELLI
PRESIDENT
1553 MORNING SUN DRIVE
BALLWIN MO 63011

Officer/Director/Trustee Two

JOE BACCARELLA
VICE PRESIDENT
2 TULANE STREET
FARMINGTON NY 11735

Organization’s website
Organization’s email
Organization Incorporated No
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 12/4/2019
Organization Incorporation State MO
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 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 REN PETTINELLI
Signature Title PRESIDENT
Signature Date 1/7/2020

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