FORM 1023-EZ for CANTON CHIEFS LACROSSE INCORPORATED

Field Data
EIN 26-2127742
Case Number EO-2016302-000338
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name CANTON CHIEFS LACROSSE INCORPORATED
Organization’s Mailing Address 2066 BELLINGHAM
City CANTON
State MI
ZIP 48188
Accounting period End 12
Primary contact name KERRY ANN SCHWARTZ
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

KERRY SCHWARTZ
TREASURER
2066 BELLINGHAM
CANTON MI 48188

Officer/Director/Trustee Two

PATRICK MOORE
PRESIDENT
325 BLUNK STREET
PLYMOUTH MI 48170

Officer/Director/Trustee Three

CINDY POLYDORAS
SECRETARY
47168 LARCHMONT DRIVE
CANTON MI 48187

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 4/1/2008
Organization Incorporation State MI
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: Yes
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 No
One Third Support Gifts No
Benefit of College No
Private Foundation 508(e) Yes
Seeking Retroactive Reinstatement No
Seeking Section 7 Reinstatement Yes
Correctness Declaration Yes
Signature Name
Signature Title
Signature Date

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