FORM 1023-EZ for WARRIORS LACROSSE CLUB

Field Data
EIN 84-2338133
Case Number EO-2019193-000156
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name WARRIORS LACROSSE CLUB
Organization’s Mailing Address 305 FOX VALLEY HIGHLAND CIR
City ALABASTER
State AL
ZIP 35114
Accounting period End 12
Primary contact name RYAN STANISCAVAGE
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

TONY JOHNSON
PRESIDENT
217 ROUNDTREE PATH
HELENA AL 35080

Officer/Director/Trustee Two

DORI HARDEE
VICE PRESIDENT
108 LONGFEATHER CIR
ALABASTER AL 35007

Officer/Director/Trustee Three

RYAN STANISCAVAGE
TREASURER
305 FOX VALLEY HIGHLAND CIR
ALABASTER AL 35114

Officer/Director/Trustee Four

JIM WILEY
SECRETARY
627
HELENA AL 35080

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 7/9/19
Organization Incorporation State AL
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code N11 - Single Organization Support
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 No
Benefit of College No
Private Foundation 508(e) Yes
Seeking Retroactive Reinstatement No
Seeking Section 7 Reinstatement No
Correctness Declaration Yes
Signature Name RYAN STANISCAVAGE
Signature Title TREASURER
Signature Date 7/10/19

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