FORM 1023-EZ for ELIZABETHTOWN LACROSSE CLUB INC

Field Data
EIN 46-3284167
Case Number EO-2015181-000237
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name ELIZABETHTOWN LACROSSE CLUB INC
Organization’s Mailing Address 17 TRIUINE TRACE
City ELIZABETHTOWN
State KY
ZIP 42701
Accounting period End 7
Primary contact name MARY JO SLANEY
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

VIRGIL LYON
DIRECTOR, PRESIDENT
17 TRIUINE TRACE
ELIZABETHTOWN KY 42701

Officer/Director/Trustee Two

CHARLES SLANEY
DIRECTOR
1429B 4TH AVENUE
FORT KNOX KY 40121

Officer/Director/Trustee Three

MARY JO SLANEY
DIRECTOR, VICE PRES, SECRETARY
1429B 4TH AVENUE
FORT KNOX KY 40121

Officer/Director/Trustee Four

LEAH AMDALL
TREASURER
17 TRIUINE TRACE
ELIZABETHTOWN KY 42701

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 7/29/2013
Organization Incorporation State KY
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: 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 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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