FORM 1023-EZ for SYRACUSE LACROSSE

Field Data
EIN 80-0608119
Case Number EO-2019079-000647
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name SYRACUSE LACROSSE
Organization’s Mailing Address 2360 S 900 W
City SYRACUSE
State UT
ZIP 84075
Accounting period End 12
Primary contact name BURTON MAY
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

BURTON MAY
PRESIDENT
2360 S 900 W
SYRACUSE UT 84075

Officer/Director/Trustee Two

KELLY HAACKE
SECRETARY - TREASURER
3537 INVERNESS DRIVE
SYRACUSE UT 84075

Organization’s website
Organization’s email BURTON.MAY@GMAIL.COM
Organization Incorporated No
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 6/17/10
Organization Incorporation State UT
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 BURTON MAY
Signature Title PRESIDENT
Signature Date 3/18/19

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