FORM 1023-EZ for TRIDENT LACROSSE

Field Data
EIN 47-2841131
Case Number EO-2015216-000011
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name TRIDENT LACROSSE
Organization’s Mailing Address 2159 RONSARD ROAD
City RANCHO PALOS VERDES
State CA
ZIP 90275-1623
Accounting period End 12
Primary contact name ALEXIS GOELLER
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

ALEXIS GOELLER
EXECUTIVE DIRECTOR
2749 LOFTYVIEW DRIVE
TORRANCE CA 90505-7225

Officer/Director/Trustee Two

DAL LEE
PRESIDENT
2159 RONSARD ROAD
RANCHO PALOS VERDES CA 90275-1623

Officer/Director/Trustee Three

KELLIANN LEE
TRESURER
2159 RONSARD ROAD
RANCHO PALOS VERDES CA 90275-1623

Officer/Director/Trustee Four

CHRISTINE GOELLER
VICE PRESIDENT
2749 LOFTYVIEW DRIVE
TORRANCE CA 90505-7225

Officer/Director/Trustee Five

ELIZABETH UNDERHILL
CLERK
2208 VIA LA BREA
PALOS VERDES ESTATES CA 90274-1657

Organization’s website HTTP://WWW.TRIDENTLACROSSE.ORG
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 12/15/2014
Organization Incorporation State CA
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
Signature Title
Signature Date

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