FORM 1023-EZ for MONROE LACROSSE CLUB

Field Data
EIN 83-4640637
Case Number EO-2019288-000437
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name MONROE LACROSSE CLUB
Organization’s Mailing Address 748 EAST BROOKE DRIVE
City MONROE
State OH
ZIP 45050
Accounting period End 5
Primary contact name CHAD JACKSON
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

CHAD JACKSON
PRESIDENT
748 EAST BROOKE DRIVE
MONROE OH 45050

Organization’s website MONROELACROSSECLUB.ORG
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 5/2/19
Organization Incorporation State OH
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: Yes
Religious: No
Educational: Yes
Scientific: No
Literary: No
Public Safety: No
Amateur Sports: No
Cruelty Prevention: No
Qualify For Exemption No
Legislation influence No
Compensation of Officer director trustee No
Donation of funds Yes
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 No
Benefit of College No
Private Foundation 508(e) Yes
Seeking Retroactive Reinstatement No
Seeking Section 7 Reinstatement No
Correctness Declaration Yes
Signature Name CHAD JACKSON
Signature Title PRESIDENT
Signature Date 10/11/19

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