FORM 1023-EZ for HARRISON COUNTY LACROSSE ASSOCIATION INC

Field Data
EIN 82-1737623
Case Number EO-2018038-000178
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name HARRISON COUNTY LACROSSE ASSOCIATION INC
Organization’s Mailing Address 253 KINGSRIDGE DRIVE
City MOUNT CLARE
State WV
ZIP 26408
Accounting period End 6
Primary contact name ROBERT WEST
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

ROBERT WEST
PRESIDENT
253 KINGSRIDGE DRIVE
MOUNT CLARE WV 26408-6845

Officer/Director/Trustee Two

OSCAR LOPEZ
VICE PRESIDENT
1948 BIG FLINT ROAD
SALEM WV 26426-4327

Officer/Director/Trustee Three

NATALIE LEONETTE
SECRETARY
1004 BRIARWOOD
BRIDGEPORT WV 26330-9384

Officer/Director/Trustee Four

BETHANY WARD
TREASURER
20141/2
CLARKSBURG WV 26301-1833

Organization’s website
Organization’s email WHITETAIL13@GMAIL.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 6/8/17
Organization Incorporation State WV
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 ROBERT WEST
Signature Title PRESIDENT
Signature Date 2/5/18

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