FORM 1023-EZ for WESTERN NEW YORK LACROSSE FOUNDATION INC

Field Data
EIN 81-1053285
Case Number EO-2016036-000242
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name WESTERN NEW YORK LACROSSE FOUNDATION INC
Organization’s Mailing Address 114 LANCASTER AVE
City BUFFALO
State NY
ZIP 14222
Accounting period End 12
Primary contact name ROBERT A BILTEKOFF
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

CHRISTOPHER MATHIAS
PRESIDENT DIRECTOR
114 LANCASTER AVE
BUFFALO NY 14222

Officer/Director/Trustee Two

BRUCE POPKO
VICE PRESIDENT DIRECTOR
82 MIDDLESEX RD
BUFFALO NY 14216

Officer/Director/Trustee Three

ROBERT BILTEKOFF
SECRETARY DIRECTOR
85 GREENAWAY RD
AMHERST NY 14226

Officer/Director/Trustee Four

MARK ALVUT
TREASURER DIRECTOR
50 FOUNTAIN PLAZA
BUFFALO NY 14202

Officer/Director/Trustee Five

WILL GISEL
DIRECTOR
136 MIDDLESEX RD
BUFFALO NY 14216

Organization’s website WWW.BPSLACROSSE.COM
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 1/7/2016
Organization Incorporation State NY
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 Yes
One Third Support Gifts No
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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