FORM 1023-EZ for CREEK VIEW HIGH SCHOOL GIRLS LACROSSE BOOSTER CLUB

Field Data
EIN 47-1636705
Case Number EO-2015075-000527
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name CREEK VIEW HIGH SCHOOL GIRLS LACROSSE BOOSTER CLUB
Organization’s Mailing Address 116 BRIGHTMOOR CT
City CANTON
State GA
ZIP 30115
Accounting period End 1
Primary contact name KRIS LUTT
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

KRIS LUTT
VICE PRESIDENT
116 BRIGHTMOOR CT
CANTON GA 30115

Officer/Director/Trustee Two

DARREN SMITH
PRESIDENT
140 PRESERVE PARKWAY
BALL GROUND GA 30107

Officer/Director/Trustee Three

BETH SMITH
SECRETARY
140 PRESERVE PARKWAY
BALL GROUND GA 30107

Officer/Director/Trustee Four

DOUG KNOTT
VICE PRESIDENT
3031 CYPRESS COVE
BALL GROUND GA 30107

Officer/Director/Trustee Five

CHRIS HOLMSTROM
TREASURER
1026 WINDSOR GREEN DRIVE
CANTON GA 30115

Organization’s website CREEKVIEWLACROSSE.COM
Organization’s email GRIZZLYGIRLSLAX@GMAIL.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 9/2/2014
Organization Incorporation State GA
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: No
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
Signature Title
Signature Date

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