FORM 1023-EZ for LACROSSE ASSOCIATIONOF SPORTS SAFETY AND EDUCATION INC

Field Data
EIN 81-3701052
Case Number EO-2016246-000210
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name LACROSSE ASSOCIATIONOF SPORTS SAFETY AND EDUCATION INC
Organization’s Mailing Address 711 WICKHAM LAKES DRIVE
City MELBOURNE
State FL
ZIP 32940
Accounting period End 12
Primary contact name BRIAN BALGO
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

BRIAN BALGO
PRES
711 WICKHAM LAKES DR
MELBOURNE FL 32940

Officer/Director/Trustee Two

ROBERT THOMAS
VP
720 AUTUMN GLEN DR
MELBOURNE FL 32940

Officer/Director/Trustee Three

JACQUELINE BALGO
TRES
711 WICKHAM LAKES DR
MELBOURNE FL 32940

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 8/28/2016
Organization Incorporation State FL
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 Yes
Donation of funds Yes
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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