FORM 1023-EZ for FHC LACROSSE BOOSTER CLUB

Field Data
EIN 84-2818040
Case Number EO-2019238-000571
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name FHC LACROSSE BOOSTER CLUB
Organization’s Mailing Address 2139 ROSELAKE CIRCLE
City COTTLEVILLE
State MO
ZIP 63376
Accounting period End 12
Primary contact name NICOLE A GUCCIONE
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

NICOLE GUCCIONE
PRESIDENT
2139 ROSELAKE CIRCLE
COTTLEVILLE MO 63376

Officer/Director/Trustee Two

NATHAN ZIPOY
VICE PRESIDENT
4030 FRENCH OAK LANE
SAINT CHARLES MO 63304

Officer/Director/Trustee Three

MICHAEL GUCCIONE
TREASURER
2139 ROSELAKE CIRCLE
COTTLEVILLE MO 63376

Officer/Director/Trustee Four

LINDSEY ZIPOY
SECRETARY
4030 FRENCH OAK LANE
SAINT CHARLES MO 63304

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 1/1/19
Organization Incorporation State MO
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code N99 - Recreation, Sports, Leisure, Athletics N.E.C.
Organization’s purpose Charitable: Yes
Religious: No
Educational: No
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 Yes
One Third Support Gifts No
Benefit of College No
Private Foundation 508(e) No
Seeking Retroactive Reinstatement No
Seeking Section 7 Reinstatement No
Correctness Declaration Yes
Signature Name NICOLE GUCCIONE
Signature Title PRESIDENT
Signature Date 8/23/19

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