FORM 1023-EZ for LAKE ZURICH HIGH SCHOOL LACROSSE BOOSTER CLUB NFP

Field Data
EIN 81-5141310
Case Number EO-2017100-000187
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name LAKE ZURICH HIGH SCHOOL LACROSSE BOOSTER CLUB NFP
Organization’s Mailing Address 8 COPPERFIELD DRIVE
City HAWTHORN WOODS
State IL
ZIP 60047
Accounting period End 12
Primary contact name GREG GIROUX
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

TOM MEYER
TREASURER
104 GOVENORS WAY
HAWTHORN WOODS IL 60047

Officer/Director/Trustee Two

JIM RYMARCSUK
VICE PRESIDENT
312 PRAIRIE LANE
LAKE ZURICH IL 60047

Officer/Director/Trustee Three

GREG GIROUX
PRESIDENT
8 COPPERFIELD DRIVE
HAWTHORN WOODS IL 60047

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 1/27/2017
Organization Incorporation State IL
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code N12 - Fund Raising and/or Fund Distribution
Organization’s purpose Charitable: Yes
Religious: No
Educational: No
Scientific: No
Literary: No
Public Safety: No
Amateur Sports: No
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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