FORM 1023-EZ for WARHILL LACROSSE CLUB OF WILLIAMSBURG INC

Field Data
EIN 81-4957796
Case Number EO-2017044-000503
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name WARHILL LACROSSE CLUB OF WILLIAMSBURG INC
Organization’s Mailing Address 105 HORSESHOE DR
City WILLIAMSBURG
State VA
ZIP 23185-5005
Accounting period End 12
Primary contact name JOHN PATTISALL
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

JOHN PATTISALL
PRESIDENT
105 HORSESHOE DR
WILLIAMSBURG VA 23185

Officer/Director/Trustee Two

DOUGLAS ROGGENBUCH
TREASURER
3300 NEWLAND CT
TOANO VA 23168

Officer/Director/Trustee Three

WENDY MULLEN
SECRETARY
113 DOGWOOD DR
WILLIAMSBURG VA 23185

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 12/19/2016
Organization Incorporation State VA
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: Yes
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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