FORM 1023-EZ for COLUMBINE GIRLS LACROSSE BOOSTER CLUB

Field Data
EIN 20-0657898
Case Number EO-2018057-000318
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name COLUMBINE GIRLS LACROSSE BOOSTER CLUB
Organization’s Mailing Address PO BOX 270412
City LITTLETON
State CO
ZIP 80127-8
Accounting period End 5
Primary contact name ANDREA MINER
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

TAMRA VAN NORSTRAND
PRESIDENT
7887 S PIERCE WAY
LITTLETON CO 80128

Officer/Director/Trustee Two

ANDREA MINER
TRESURER
5742 S BENTON WAY
LITTLETON CO 80123

Officer/Director/Trustee Three

MORGAN PAXSON
SECRETARY
9512 W BRANDT PLACE
LITTLETON CO 80123

Officer/Director/Trustee Four

AMY DOE-TORRES
VP OF FUNDRAISING
5260 W PLYMOUTH DRIVE
LITTLETON CO 80128

Officer/Director/Trustee Five

MICHELLE NOYES
VP OF SOCIAL EVENTS
6161 W ARBOR AVE
LITTLETON CO 80123

Organization’s website WWW.LADYREBELLAX.COM
Organization’s email CHSGIRLSLAX@OUTLOOK.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 1/28/04
Organization Incorporation State CO
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code B12 - Fund Raising and/or Fund Distribution
Organization’s purpose Charitable: No
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 Yes
Correctness Declaration Yes
Signature Name ANDREA MINER
Signature Title TRESURER
Signature Date 2/22/18

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