FORM 1023-EZ for CANNIBAL LACROSSE

Field Data
EIN 81-1725018
Case Number EO-2017212-000344
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name CANNIBAL LACROSSE
Organization’s Mailing Address 1062 GENEVA RD
City BEAVERCREEK
State OH
ZIP 45434
Accounting period End 1
Primary contact name WENDY IRELAND
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

WENDY IRELAND
DIRECTOR
1153 MISTYGATE DR
FAIRBORN OH 45324

Officer/Director/Trustee Two

MARLISSA MURRELL
DIRECTOR
1062 GENEVA RD
BEAVERCREEK OH 45434

Organization’s website CANNIBALLACROSSE.COM
Organization’s email CANNIBAL.LAX@GMAIL.COM
Organization Incorporated No
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 1/1/2015
Organization Incorporation State OH
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 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 No
Benefit of College No
Private Foundation 508(e) Yes
Seeking Retroactive Reinstatement No
Seeking Section 7 Reinstatement No
Correctness Declaration Yes
Signature Name
Signature Title
Signature Date

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