FORM 1023-EZ for MONTANA GRIZZLY LACROSSE

Field Data
EIN 81-2548347
Case Number EO-2017179-000312
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name MONTANA GRIZZLY LACROSSE
Organization’s Mailing Address PO BOX 7051
City MISSOULA
State MT
ZIP 59807-7051
Accounting period End 6
Primary contact name TIMOTHY BECHTOLD
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

TUCKER SARGENT
PRESIDENT
355 KRIM STREET
MISSOULA MT 59804

Officer/Director/Trustee Two

WILL FREIHOFER
SECRETARY
1 SUASVILLE LANE
ETNA NH 03750

Officer/Director/Trustee Three

BEN BUSKEY
TREASURER
919 A STREET APT B
MISSOULA MT 59802

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 4/28/2016
Organization Incorporation State MT
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: 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 Yes
One Third Support Gifts No
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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