FORM 1023-EZ for LAKE FOREST PARK SHOREINE LACROSSE CLUB

Field Data
EIN 82-3315998
Case Number EO-2018150-000285
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name LAKE FOREST PARK SHOREINE LACROSSE CLUB
Organization’s Mailing Address 18516 6TH AVE NW
City SHORELINE
State WA
ZIP 98177
Accounting period End 12
Primary contact name KAYE REITER
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

KAYE REITER
PRESIDENT
18516 6TH AVE NW
SHORELINE WA 98177

Officer/Director/Trustee Two

RICHARD SANDSTROM
VICE PRESIDENT
625 NE 200TH ST
SHORELINE WA 98155

Officer/Director/Trustee Three

MATTHEW BUFFALOE
TREASURER
5051 NE 197TH ST
LAKE FOREST PARK WA 98155

Officer/Director/Trustee Four

JOSHUA TUFTS
BOARD MEMBER
15238 DAYTON AVE N
SHORELINE WA 98133

Officer/Director/Trustee Five

MARGARET LAW
BOARD MEMBER
17205 4TH AVE NE
SHORELINE WA 98155

Organization’s website HTTPS://WWW.LFPSHORELINELACROSSE.COM/
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 11/3/17
Organization Incorporation State WA
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code N50 - Recreational, Pleasure, or Social Club
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 KAYE REITER
Signature Title PRESIDENT
Signature Date 5/25/18

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