FORM 1023-EZ for PEAK180 LACROSSE

Field Data
EIN 85-2908961
Case Number EO-2021140-000417
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name PEAK180 LACROSSE
Organization’s Mailing Address 6721 E BARWICK DR
City CAVE CREEK
State AZ
ZIP 85331
Accounting period End 12
Primary contact name IZABELLA JADE
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

IZABELLA JADE
MANAGING MEMBER
6721 E BARWICK DR
CAVE CREEK AZ 85331

Officer/Director/Trustee Two

SYDNEY ANDERSON
MANAGING MEMBER
4600 N 24TH ST
PHOENIX AZ 85016

Organization’s website PEAK180LACROSSE.COM
Organization’s email INFO@PEAK180LACROSSE.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 9/8/2020
Organization Incorporation State AZ
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code N99 - Recreation, Sports, Leisure, Athletics 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 IZABELLA JADE
Signature Title MANAGING MEMBER
Signature Date 5/13/2021

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