FORM 1023-EZ for HELLGATE LACROSSE

Field Data
EIN 45-4434089
Case Number EO-2015128-000509
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name HELLGATE LACROSSE
Organization’s Mailing Address PO BOX 3032
City MISSOULA
State MT
ZIP 59806-3032
Accounting period End 12
Primary contact name JORRUN LISTON
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

ALLEN SZALDAPETREE
PRESIDENT
306 WESTVIEW
MISSOULA MT 59803-1529

Officer/Director/Trustee Two

LISA TRIEPKE
VICE PRESIDENT
1550 TROTTING HORSE LANE
MISSOUL MT 59804-5870

Officer/Director/Trustee Three

MARY MAYNARD
SECRETARY
5810 LARIAT LOOP
MISSOULA MT 59808-5697

Officer/Director/Trustee Four

MELANIE CHARLSON
TREASURER-GIRLS
2502 SUNRIDGE CT
MISSOULA MT 59803-1107

Officer/Director/Trustee Five

JORRUN LISTON
TREASURER
332 E KENT AVE
MISSOULA MT 59801-6024

Organization’s website WWW.HELLGATELACROSSE.USLAXTEAMS.COM
Organization’s email HELLGATELAX1@GMAIL.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 2/1/2012
Organization Incorporation State MT
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code N99 - Recreation, Sports, Leisure, Athletics N.E.C.
Organization’s purpose Charitable: No
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 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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