FORM 1023-EZ for FORT WAYNE LACROSSE ASSOCIATION INC

Field Data
EIN 81-3539020
Case Number EO-2020071-000207
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name FORT WAYNE LACROSSE ASSOCIATION INC
Organization’s Mailing Address 8002 SHADY LAKE CT
City FORT WAYNE
State IN
ZIP 46804
Accounting period End 12
Primary contact name KAREN MORTHORST
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

KAREN MORTHORST
PRESIDENT
8002 SHADY LAKE CT
FORT WAYNE IN 46804

Officer/Director/Trustee Two

KIM BROWN
SECRETARY
8002 SHADY LAKE CT
FORT WAYNE IN 46804

Officer/Director/Trustee Three

JOHN BELOTE
VICE PRESIDENT
8002 SHADY LAKE CT
FORT WAYNE IN 46804

Organization’s website FWLACROSSE.ORG
Organization’s email FORTWAYNELACROSSE@GMAIL.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 8/12/2016
Organization Incorporation State IN
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: Yes
Religious: No
Educational: No
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 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 Yes
Seeking Section 7 Reinstatement No
Correctness Declaration Yes
Signature Name KAREN MORTHORST
Signature Title PRESIDENT
Signature Date 3/8/2020
EIN 81-3539020
Case Number EO-2017136-000176
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name FORT WAYNE LACROSSE ASSOCIATION INC
Organization’s Mailing Address 14305 SHORE OAKS COVE
City FORT WAYNE
State IN
ZIP 46814
Accounting period End 12
Primary contact name ERIN M HECK
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

TONIA MORGAN DARMOFAL
PRESIDENT
7725 GRIFFEY DRIVE
FORT WAYNE IN 46804

Officer/Director/Trustee Two

JYL MCLAUGHLIN
SECRETARY
11912 CROSSWAY DRIVE
FORT WAYNE IN 46814

Officer/Director/Trustee Three

JOHN MCKAY
TREASURER
14305 SHORE OAKS COVE
FORT WAYNE IN 46814

Organization’s website N/A
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 8/12/2016
Organization Incorporation State IN
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: No
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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