FORM 1023-EZ for LANSING ROLLER DERBY
| Field | Data |
|---|---|
| EIN | 84-4303031 |
| Case Number | EO-2020031-000266 |
| Form 1023-EZ version | 12018 |
| Eligibility Worksheet | 1 |
| Organization Name | LANSING ROLLER DERBY |
| Organization’s Mailing Address | PO BOX 751 |
| City | MASON |
| State | MI |
| ZIP | 48854 |
| Accounting period End | 10 |
| Primary contact name | JANE M ERWIN |
| Primary contact phone | [Hidden] |
| Primary contact phone extension | [Hidden] |
| Primary contact fax | [Hidden] |
| User fee submitted | $275.00 |
Officer/Director/Trustee One
JANE ERWIN
PRESIDENT
905
LANSING MI 48910
Officer/Director/Trustee Two
JESSICA HARMON
TREASURER
1635 W HOWELL RD
MASON MI 48854
Officer/Director/Trustee Three
MEREDETH CRAN
VICE PRESIDENT
2420 DARBY DRIVE
LANSING MI 48906
Officer/Director/Trustee Four
AMBER CROSBY-BOERMA
SECRETARY
738 SPARROW AVE
LANSING MI 48910
Officer/Director/Trustee Five
AMY BROWN
SKATER AT LARGE
2308 GREENBELT DR
LANSING MI 48911
| Organization’s website | HTTP://LANSINGDERBYVIXENS.COM/ |
|---|---|
| Organization’s email | INFO@LANSINGDERBYVIXENS.COM |
| Organization Incorporated | Yes |
| Organization trust | No |
| Necessary Organizing Documents | Yes |
| Organization Incorporation Date | 1/24/2020 |
| Organization Incorporation State | MI |
| 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: 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 | JANE ERWIN |
| Signature Title | PRESIDENT |
| Signature Date | 1/29/2020 |
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