FORM 1023-EZ for BIG CHICKENS LACROSSE

Field Data
EIN 84-1845091
Case Number EO-2019289-000262
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name BIG CHICKENS LACROSSE
Organization’s Mailing Address PO BOX 751539
City PETALUMA
State CA
ZIP 94975
Accounting period End 12
Primary contact name CHRISTINA HOWARD
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

CHRISTOPHER WADLEIGH
PRESIDENT/SECRETARY
1927 ROGERS LANE
PETALUMA CA 94954

Officer/Director/Trustee Two

ANTHONY HOWARD
VICE PRESIDENT/TREASURER
PO BOX 751539
PETALUMA CA 94975

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 5/9/19
Organization Incorporation State CA
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code N99 - Recreation, Sports, Leisure, Athletics 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 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 ANTHONY HOWARD
Signature Title VICE PRESIDENT/TREASURER
Signature Date 10/14/19

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