FORM 1023-EZ for 719LACROSSE INC

Field Data
EIN 83-1081224
Case Number EO-2018186-000216
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name 719LACROSSE INC
Organization’s Mailing Address 2728 EMERALD RIDGE DR
City COLORADO SPRINGS
State CO
ZIP 80920
Accounting period End 12
Primary contact name ROBERT RAPHAEL
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

ROBERT RAPHAEL
PRESIDENT
2728 EMERALD RIDGE DR
COLORADO SPRINGS CO 80920-1473

Officer/Director/Trustee Two

JULIE RAPHAEL
SEC/TREASURER
2728 EMERALD RIDGE DR
COLORADO SPRINGS CO 80920-1473

Officer/Director/Trustee Three

CHRIS RAPHAEL
DIRECTOR
2728 EMERALD RIDGE DR
COLORADO SPRINGS CO 80920-1473

Officer/Director/Trustee Four

NA NA
NA
NA
NA CO 80920-1473

Officer/Director/Trustee Five

NA NA
NA
NA
NA CO 80920-1473

Organization’s website WWW.719LACROSSE.COM
Organization’s email rraphael@esisoft.us
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 6/27/18
Organization Incorporation State CO
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code O01 - Alliance/Advocacy Organizations
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 ROBERT RAPHAEL
Signature Title PRESIDENT
Signature Date 7/2/18

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