FORM 1023-EZ for POCATELLO LACROSSE INC

Field Data
EIN 61-1594591
Case Number EO-2015146-000156
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name POCATELLO LACROSSE INC
Organization’s Mailing Address 1529 JUNIPER HILLS
City POCATELLO
State ID
ZIP 83204
Accounting period End 12
Primary contact name CRAIG THOMPSON
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

CRAIG THOMPSON
PRESIDENT
1529 JUNIPER HILLS
POCATELLO ID 83204

Officer/Director/Trustee Two

JILL LATIMER
SECRETARY
2588 MICHELLE
POCATELLO ID 83201

Officer/Director/Trustee Three

TONYA WALTON
DIRECTOR
1625 BETH
POCATELLO ID 83201

Officer/Director/Trustee Four

NICHOLE CHRISTENSEN
DIRECTOR
13235 N MANNING
POCATELLO ID 83202

Officer/Director/Trustee Five

JOANN BAILEY
DIRECTOR
5392 W SKYVIEW
POCATELLO ID 83204

Organization’s website POCATELLOLACROSSE.COM
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 4/10/2010
Organization Incorporation State ID
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code N11 - Single Organization Support
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 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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