FORM 1023-EZ for COASTAL VIRGINIA LACROSSE INC

Field Data
EIN 83-3383626
Case Number EO-2019079-000633
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name COASTAL VIRGINIA LACROSSE INC
Organization’s Mailing Address 2068 LANDSTOWN CENTRE WAY
City VIRGINIA BEACH
State VA
ZIP 23456
Accounting period End 12
Primary contact name FRANK LOGAN
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

FRANK LOGAN
EXECUTIVE DIRECTOR
2300 LANGHORNE CT
VIRGINIA BEACH VA 23456

Officer/Director/Trustee Two

RENATE COOKE
TREASURER
899 SHORT LINE ROAD
VIRGINIA BEACH VA 23451

Officer/Director/Trustee Three

LORI LOGAN
SECRETARY
2300 LANGHORNE CT
VIRGINIA BEACH VA 23456

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 11/18/18
Organization Incorporation State VA
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code N01 - Alliance/Advocacy Organizations
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 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 FRANK LOGAN
Signature Title EXECUTIVE DIRECTOR
Signature Date 3/18/19

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