FORM 1023-EZ for TRUSSVILLE LACROSSE ASSOCIATION

Field Data
EIN 47-3730204
Case Number EO-2017248-000226
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name TRUSSVILLE LACROSSE ASSOCIATION
Organization’s Mailing Address 8475 LEDGE CIRCLE
City TRUSSVILLE
State AL
ZIP 35173
Accounting period End 12
Primary contact name RANDALL FICO
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

WILLIAM WILLS
PRESIDENT
8551 HIGHLANDS TRACE
TRUSSVILLE AL 35173

Officer/Director/Trustee Two

RANDALL FICO
TREASURER
8475 LEDGE CIRCLE
TRUSSVILLE AL 35173

Officer/Director/Trustee Three

MICHAEL WHITE
GBYLA LIAISON
4562 MARTIN WILSON ROAD
TRUSSVILLE AL 35173

Officer/Director/Trustee Four

RHONDA ANTKOWIAK
SECRETARY
211 WORTHINGTON DR
TRUSSVILLE AL 35173

Officer/Director/Trustee Five

THOMAS MCCORMICK
COACHES LIASION
115 OAK STREET
TRUSSVILLE AL 35173

Organization’s website
Organization’s email
Organization Incorporated No
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 4/15/2015
Organization Incorporation State AL
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code N50 - Recreational, Pleasure, or Social Club
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 Yes
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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