FORM 1023-EZ for MISSOURI SCHOLASTIC LACROSSE ASSOCIATION

Field Data
EIN 61-1884918
Case Number EO-2018130-000625
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name MISSOURI SCHOLASTIC LACROSSE ASSOCIATION
Organization’s Mailing Address 1553 MORNING SUN DRIVE
City BALLWIN
State MO
ZIP 63021-8416
Accounting period End 12
Primary contact name REN PETTINELLI
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

CHRIS BENTON
PRESIDENT
1450 SHAGBARK CT
CHESTERFIELD MO 63017-5520

Officer/Director/Trustee Two

REN PETTINELLI
VICE PRESIDENT
1553 MORNING SUN DRIVE
BALLWIN MO 63021-8416

Officer/Director/Trustee Three

JASON FAUSS
SECRETARY
11965 ST CHARLES ROCK ROAD
BRIDGETON MO 63044-2628

Organization’s website
Organization’s email
Organization Incorporated No
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 8/9/93
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 VICE PRESIDENT
Signature Date 5/8/18

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