FORM 1023-EZ for LAKESIDE AQUATICS TEAM BOOSTER CLUB

Field Data
EIN 83-4330115
Case Number EO-2019101-000216
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name LAKESIDE AQUATICS TEAM BOOSTER CLUB
Organization’s Mailing Address 228 BLUE CRANE 1 DRIVE
City SLIDELL
State LA
ZIP 70461
Accounting period End 12
Primary contact name SARAH HERRINGTON
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

SARAH HERRINGTON
HEAD COACH
228 BLUE CRANE 1 DR
SLIDELL LA 70461

Officer/Director/Trustee Two

KRISTIE LELAND
PRESIDENT
1194 YORKTOWN DR
SLIDELL LA 70461

Officer/Director/Trustee Three

LADONNA DELGADO
VICE PRESIDENT
1220 MOUNTAIN ASH DR
SLIDELL LA 70458

Officer/Director/Trustee Four

CHRISTY WILKINSON
SECRETARY
553 MANCHESTER DR
SLIDELL LA 70461

Officer/Director/Trustee Five

TIFFANY HORST
TREASURER
1145 ELLINGSWORTH DR
SLIDELL LA 70461

Organization’s website
Organization’s email LAKESIDEAQUATICSTEAM@GMAIL.COM
Organization Incorporated No
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 4/9/19
Organization Incorporation State LA
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code N12 - Fund Raising and/or Fund Distribution
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 SARAH HERRINGTON
Signature Title HEAD COACH
Signature Date 4/9/19

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