FORM 1023-EZ for SALEM ROCKS GIRLS LACROSSE BOOSTERCLUB

Field Data
EIN 47-3447716
Case Number EO-2020044-000453
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name SALEM ROCKS GIRLS LACROSSE BOOSTERCLUB
Organization’s Mailing Address 46181 JOY RD
City CANTON
State MI
ZIP 48187-1316
Accounting period End 7
Primary contact name TAMMY SOPHA
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

TRACEY DUENAS
PRESIDENT
7120 SYLVANIA LN
CANTON MI 48187-2180

Officer/Director/Trustee Two

DAWN MINEHART
VICE PRESIDENT
43160 LOMBARDY
CANTON MI 48187-2325

Officer/Director/Trustee Three

MICHELLE BUCKBERRY
SECRETARY
45699 MORNINGSIDE
CANTON MI 48187-5448

Officer/Director/Trustee Four

TAMMY SOPHA
TREASURER
1047 CHELSEA RD
CANTON MI 48187-4829

Organization’s website
Organization’s email SALEMGIRLSLAXBOOSTERS@GMAIL.COM; SLAXGIRLSTREASURER@GMAIL.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 3/10/2015
Organization Incorporation State MI
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: 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 Yes
One Third Support Gifts No
Benefit of College No
Private Foundation 508(e) No
Seeking Retroactive Reinstatement Yes
Seeking Section 7 Reinstatement No
Correctness Declaration Yes
Signature Name TAMMY SOPHA
Signature Title TREASURER
Signature Date 2/11/2020
EIN 47-3447716
Case Number EO-2015090-000212
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name SALEM ROCKS GIRLS LACROSSE BOOSTERCLUB INC
Organization’s Mailing Address 690 FOREST AVENUE
City PLYMOUTH
State MI
ZIP 48170
Accounting period End 12
Primary contact name JEFFREY LONGE
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

KELLY SCHNOES
PRESIDENT
45601 PURCELL DRIVE
PLYMOUTH MI 48170

Officer/Director/Trustee Two

SHANNON VERKLAN
VICE-PRESIDENT
12143 ARROWHEAD COURT
PLYMOUTH MI 48170

Officer/Director/Trustee Three

SHEILA COUSINO
TREASURER
46149 ROCKLEDGE
PLYMOUTH MI 48170

Officer/Director/Trustee Four

KATE SHORTALL
SECRETARY
40201 ANN ARBOR TRAIL
PLYMOUTH MI 48170

Officer/Director/Trustee Five

AMY LEYDEN
TEAM ADVOCATE
4808 MEADOW DRIVE
PLYMOUTH MI 48170

Organization’s website SALEMATHLETICS.COM/GIRLS_LACROSSE
Organization’s email C/O JEFF.LONGE2@GMAIL.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 3/12/2015
Organization Incorporation State MI
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 Yes
One Third Support Gifts No
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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