FORM 1023-EZ for COBRA LACROSSE CLUB INC

Field Data
EIN 83-1068596
Case Number EO-2019066-000341
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name COBRA LACROSSE CLUB INC
Organization’s Mailing Address 8615 MEADOWS PKWY
City OMAHA
State NE
ZIP 68138
Accounting period End 6
Primary contact name DANYLE TOMLINSON
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

DANYLE TOMLINSON
TREASURER
8615 MEADOWS PKWY
OMAHA NE 68138-3433

Officer/Director/Trustee Two

ANGELA LINDSTROM
SECRETARY
15716 L STREET
OMAHA NE 68135-1108

Officer/Director/Trustee Three

JENNIFER SCHOLL
TEAM MANAGER
5708 S 159 AVE
OMAHA NE 68135-2974

Officer/Director/Trustee Four

KEVIN PINKERTON
PRESIDENT
2011 S 164 AVE
OMAHA NE 68130-1614

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 6/22/18
Organization Incorporation State NE
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 DANYLE TOMLINSON
Signature Title TREASURER
Signature Date 3/5/19

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