FORM 1023-EZ for SALEM LACROSSE ATHLETIC ASSOCIATION

Field Data
EIN 20-0813131
Case Number EO-2015148-000252
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name SALEM LACROSSE ATHLETIC ASSOCIATION
Organization’s Mailing Address 46181 JOY RD
City CANTON
State MI
ZIP 48187-1316
Accounting period End 7
Primary contact name JOSEPH BRIDGMAN
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

TIM KRAUSE
PRESIDENT
792 S HARVEY ST
PLYMOUTH MI 48170-2064

Officer/Director/Trustee Two

JOSEPH BRIDGMAN
TREASURER
8893 TAVISTOCK DR
PLYMOUTH MI 48170-4719

Officer/Director/Trustee Three

NANCY GREGOR
SECRETARY
970 VIRGINIA ST
PLYMOUTH MI 48170-1956

Officer/Director/Trustee Four

SARAH COUSINEAU
VICE PRESIDENT
46403 REGISTRY DR
CANTON MI 48187-1690

Officer/Director/Trustee Five

TAMMY SOPHA
MEMBER AT LARGE
1047 CHELSEA RD
CANTON MI 48187-4829

Organization’s website HTTP://SALEMATHLETICS.COM/
Organization’s email SLAXTREASURER@GMAIL.COM
Organization Incorporated No
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 8/1/2008
Organization Incorporation State MI
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code B94 - Parent/Teacher Group
Organization’s purpose Charitable: Yes
Religious: Yes
Educational: Yes
Scientific: Yes
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 Yes
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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