FORM 1023-EZ for WATERFORD UNITED BOYS LACROSSE INC

Field Data
EIN 81-4430233
Case Number EO-2018183-000149
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name WATERFORD UNITED BOYS LACROSSE INC
Organization’s Mailing Address 1151 SCOTT LAKE ROAD
City WATERFORD
State MI
ZIP 48328
Accounting period End 6
Primary contact name SHANA KNOWLES
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

KRISTIN CARVER
PRESIDENT
5186 SHORELINE BLVD
WATERFORD MI 48329

Officer/Director/Trustee Two

HEIDI GRAUNSTADT
SECRETARY
6498 ANDERSONVILLE ROAD
WATERFORD MI 48329

Officer/Director/Trustee Three

SHANA KNOWLES
TREASURER
4855 LORE DRIVE
WATERFORD MI 48329

Officer/Director/Trustee Four

HEATHER PETERS
DIRECTOR
7675 PLEASANT MANOR
WATERFORD MI 48327

Officer/Director/Trustee Five

CHRIS REPKEY
DIRECTOR
5951 THORNABY STREET
WATERFORD MI 48329

Organization’s website WWW.WUBOYSLACROSSE.COM
Organization’s email WUBOYSLAX@GMAIL.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 11/16/16
Organization Incorporation State MI
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 SHANA KNOWLES
Signature Title TREASURER
Signature Date 6/28/18

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