FORM 1023-EZ for LIONS LACROSSE BOOSTERS

Field Data
EIN 83-2270307
Case Number EO-2018299-000209
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name LIONS LACROSSE BOOSTERS
Organization’s Mailing Address PO BOX 46431
City PLYMOUTH
State MN
ZIP 55446
Accounting period End 12
Primary contact name LORINDA IMS
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

JEFF CLIPPERTON
PRESIDENT
10800 TRAIL HAVEN ROAD
CORCORAN MN 55374

Officer/Director/Trustee Two

ROBERT MAGRUDER
VICE PRESIDENT
18586 OLSON STREET
ELK RIVER MN 55341

Officer/Director/Trustee Three

LORINDA IMS
SECRETARY
97 JANSEN AVE NE
HANOVER MN 55341

Officer/Director/Trustee Four

VICKY SMITH
TREASURER
2213 OAKLAND ROAD
MINNETONKA MN 55330

Officer/Director/Trustee Five

MAGGIE MCGURL
BOARD OF DIRECTORS
4496 BLUEBELLS TRAILS
MEDINA MN 55340

Organization’s website
Organization’s email BOYS.LACROSSE@PROVIDENCEACADEMY.ORG
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 5/17/18
Organization Incorporation State MN
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: Yes
Educational: Yes
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 LORINDA IMS
Signature Title SECRETARY
Signature Date 10/24/18

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