FORM 1023-EZ for GREENSPUN LACROSSE

Field Data
EIN 82-2636954
Case Number EO-2017283-000503
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name GREENSPUN LACROSSE
Organization’s Mailing Address 35 BAYRIDGE RD
City HENDERSON
State NV
ZIP 89074-3308
Accounting period End 7
Primary contact name TRICIA BLACK
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

GABRIELLE CRAWFORD
VICE PRESIDENT
1188 CALVERT ST
HENDERSON NV 89002

Officer/Director/Trustee Two

YVONNE LANE
SERCRETARY
1694 DUARTE DR
HENDERSON NV 89014

Officer/Director/Trustee Three

TRICIA BLACK
PRESIDENT
35 BAYRIDGE RD
HENDERSON NV 89074-3308

Organization’s website
Organization’s email
Organization Incorporated No
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 8/6/2017
Organization Incorporation State NV
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code O21 - Boys Clubs
Organization’s purpose Charitable: Yes
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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