FORM 1023-EZ for HANREY NADZITSAGA LACROSSE

Field Data
EIN 82-1711926
Case Number EO-2019346-000321
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name HANREY NADZITSAGA LACROSSE
Organization’s Mailing Address 407 N BROADWAY
City BURNS
State OR
ZIP 97720-1552
Accounting period End 12
Primary contact name ELIZABETH STEINOFF
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

MICHELLA DAUGHTERY
PRESIDENT
407 N BROADWAY
BURNS OR 97720-1552

Officer/Director/Trustee Two

CURTIS EGGLESTON
VICE PRESIDENT
147 N NEWPORT AVE
HINES OR 97738-2556

Officer/Director/Trustee Three

RICHARD ROY
ADVISOR
974 N COURT AVE
BURNS OR 97720-1552

Officer/Director/Trustee Four

HEATHER SCHULTZ
SECRETARTY
418 W MADISON
BURNS OR 97720-1552

Officer/Director/Trustee Five

ELIZABETH STEINHOFF
TREASURE
806 S IMPERIAL
BURNS OR 97720-1552

Organization’s website HTTP://WWW.CLUBHARNEYCOUNTY.COM/
Organization’s email BGC_HARNEYCOUNTY@YAHOO.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 5/31/2017
Organization Incorporation State OR
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 ELIZABETH STEINHOFF
Signature Title TREASURE
Signature Date 12/10/2019

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