FORM 1023-EZ for STAGS LACROSSE INC

Field Data
EIN 83-2528368
Case Number EO-2018320-000271
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name STAGS LACROSSE INC
Organization’s Mailing Address 7710 TERRACE AVE APT 409
City MIDDLETON
State WI
ZIP 53562
Accounting period End 12
Primary contact name DANIEL B PURTELL
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

DANIEL PURTELL
DIRECTOR
7710 TERRACE AVE APT 409
MIDDLETON WI 53562

Officer/Director/Trustee Two

SANFORD ERDAHL
DIRECTOR
2221 SHERMAN AVE APT 411
MADISON WI 53704

Officer/Director/Trustee Three

BRYCE PACKARD
DIRECTOR
301 E MAIN ST APT 321
WAUNAKEE WI 53597

Organization’s website WWW.STAGSLACROSSE.COM
Organization’s email MIDDLETONLACROSSEACADEMY@GMAIL.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 11/14/18
Organization Incorporation State WI
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: No
Religious: No
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 Yes
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 DANIEL PURTELL
Signature Title DIRECTOR
Signature Date 11/14/18

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