FORM 1023-EZ for WILMINGTON LACROSSE BOOSTER CLUB

Field Data
EIN 47-3426127
Case Number EO-2015098-000387
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name WILMINGTON LACROSSE BOOSTER CLUB
Organization’s Mailing Address 22 AVON STREET
City ANDOVER
State MA
ZIP 01810
Accounting period End 12
Primary contact name TRACEY GAUTHIER-PETERS
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

TRACEY GAUTHIER-PETERS
TREASURER
22 AVON STREET
ANDOVER MA 01810

Officer/Director/Trustee Two

LORI PENNEY
PRESIDENT
9 REVERE AVE
WILMINGTON MA 01887

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 3/16/2015
Organization Incorporation State MA
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: 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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