FORM 1023-EZ for LADY GOVS LACROSSE

Field Data
EIN 85-2476947
Case Number EO-2020227-000022
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name LADY GOVS LACROSSE
Organization’s Mailing Address 3805 LAWS CHAPEL RD
City MARYVILLE
State TN
ZIP 37801
Accounting period End 12
Primary contact name JAMES DAVIS
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

JAMES DAVIS
DIRECTOR
3805 LAWS CHAPEL RD
MARYVILLE TN 37801

Officer/Director/Trustee Two

MIKE BRISBIN
DIRECTOR
1244 BILL WALLACE DR
MARYVILLE TN 37801

Officer/Director/Trustee Three

JAMIE BRISBIN
DIRECTOR
1244 BILL WALLACE DR
MARYVILLE TN 37801

Organization’s website
Organization’s email
Organization Incorporated
Organization trust Yes
Necessary Organizing Documents Yes
Organization Incorporation Date 8/1/2020
Organization Incorporation State TN
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code N11 - Single Organization Support
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 JAMES DAVIS
Signature Title DIRECTOR
Signature Date 8/12/2020

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