FORM 1023-EZ for JAMESTOWN GIRLS LACROSSE CLUB INC

Field Data
EIN 81-1536986
Case Number EO-2016057-000184
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name JAMESTOWN GIRLS LACROSSE CLUB INC
Organization’s Mailing Address 145 NORTH QUARTER
City WILLIAMSBURG
State VA
ZIP 23185
Accounting period End 2
Primary contact name MICHAEL GROGAN
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

MICHAEL GROGAN
PRESIDENT
145 NORTH QUARTER
WILLIMASBURG VA 23185

Officer/Director/Trustee Two

JEFF WHITE
TREASURER
19 WHITTAKERS MILL
WILLIAMSBURG VA 23185

Officer/Director/Trustee Three

LIA DOSSIN
SECRETARY
404 FAIRFAX WAY
WILLIAMSBURG VA 23185

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 2/17/2016
Organization Incorporation State VA
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 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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