FORM 1023-EZ for SKYLINE MENS LACROSSE STUDENT SUPPORT ORGANIZATION

Field Data
EIN 84-4600684
Case Number EO-2021225-000034
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name SKYLINE MENS LACROSSE STUDENT SUPPORT ORGANIZATION
Organization’s Mailing Address 2827 EAST 3365 SOUTH
City SALT LAKE CITY
State UT
ZIP 84109-3033
Accounting period End 6
Primary contact name SUSAN TOBIN PARKER
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

SUSAN PARKER
TREASURER
2827 E 3365 S
SALT LAKE CITY UT 84109

Officer/Director/Trustee Two

KIM CAMPBELL
PRESIDENT
3870 EAST EVELYN
SLC UT 84124

Officer/Director/Trustee Three

GREG NEVILLE
VICE PRESIDENT
3549 S EASTWOOD DRIVE
SLC UT 84109

Officer/Director/Trustee Four

SARAH CHANDLER
SECRETARY
1873 CHARLESTON LANE
HOLLADAY UT 84124

Organization’s website WWW.SKYLINELACROSSE.ORG
Organization’s email SUSANTPARKER6@GMAIL.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 2/1/2020
Organization Incorporation State UT
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: 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 SUSAN PARKER
Signature Title TREASURER
Signature Date 8/11/2021

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