FORM 1023-EZ for LAX BROS LACROSSE CLUB
| Field | Data |
|---|---|
| EIN | 81-4258531 |
| Case Number | EO-2016319-000555 |
| Form 1023-EZ version | 62014 |
| Eligibility Worksheet | 1 |
| Organization Name | LAX BROS LACROSSE CLUB |
| Organization’s Mailing Address | 124 HINCKLEY COURT |
| City | ROSEVILLE |
| State | CA |
| ZIP | 95747 |
| Accounting period End | 12 |
| Primary contact name | CHARLES VAN VLEET |
| Primary contact phone | [Hidden] |
| Primary contact phone extension | [Hidden] |
| Primary contact fax | [Hidden] |
| User fee submitted | $275.00 |
Officer/Director/Trustee One
CHARLES VAN VLEET
EXECUTIVE DIRECTOR
124 HINCKLEY COURT
ROSEVILLE CA 95747
Officer/Director/Trustee Two
KAREN WALAITIS
SECRETARY
5213 MAIRMOORE WAY
CARMICHAEL CA 95608
Officer/Director/Trustee Three
OLGA RAMIREZ
TREASURER
6240 KIEMAN DR
CARMICHAEL CA 95608
Officer/Director/Trustee Four
PATRICK SWEENEY
BOARD MEMBER
4851 KOKOMO DRIVE UNIT 6723
SACRAMENTO CA 95835
| Organization’s website | |
|---|---|
| Organization’s email | |
| Organization Incorporated | No |
| Organization trust | No |
| Necessary Organizing Documents | Yes |
| Organization Incorporation Date | 10/27/2016 |
| Organization Incorporation State | CA |
| 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 | 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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