FORM 1023-EZ for ELKHORN ELKS LACROSSE CLUB INC

Field Data
EIN 83-2279560
Case Number EO-2018297-000340
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name ELKHORN ELKS LACROSSE CLUB INC
Organization’s Mailing Address 622 MORNINGSIDE ST
City ELKHORN
State WI
ZIP 53121
Accounting period End 12
Primary contact name NANCY DUPONT
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

NANCY DUPONT
PRESIDENT
622 MORNINGSIDE ST
ELKHORN WI 53121

Organization’s website
Organization’s email ELKHORNHSLAX@GMAIL.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 10/20/18
Organization Incorporation State WI
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code N70 - Amateur Sports Competitions
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 NANCY DUPONT
Signature Title PRESIDENT
Signature Date 10/22/18

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