FORM 1023-EZ for SHAKOPEE VALLEY LACROSSE CLUB

Field Data
EIN 81-4271639
Case Number EO-2017012-000483
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name SHAKOPEE VALLEY LACROSSE CLUB
Organization’s Mailing Address 115 S BROADWAY SUITE 100
City JORDAN
State MN
ZIP 55352
Accounting period End 12
Primary contact name SCOTT REED
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

MARK WESTRUM
PRESIDENT
1812 GRANITE STREET
SHAKOPEE MN 55379

Officer/Director/Trustee Two

SCOTT REED
VICE PRESIDENT
650 JUTLAND AVE
SHAKOPEE MN 55379

Officer/Director/Trustee Three

NICOLE RANDALL
SECRETARY
1547 YORKSHIRE LN
SHAKOPEE MN 55379

Officer/Director/Trustee Four

JULIE LAWRENCE
TREASURER
151 S SHANNON DR
SHAKOPEE MN 55379

Organization’s website HTTP://WWW.SHAKOPEELACROSSE.ORG/PAGE/SHOW/2300293-SHAKOPEE-BOYS-VARSITY-AND-JV
Organization’s email SHAKOHSLAX@GMAIL.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 10/28/2016
Organization Incorporation State MN
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: Yes
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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