FORM 1023-EZ for RIVERSIDE GIRLS LACROSSE

Field Data
EIN 82-3138202
Case Number EO-2017328-000459
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name RIVERSIDE GIRLS LACROSSE
Organization’s Mailing Address PO BOX 654
City PAINESVILLE
State OH
ZIP 44077
Accounting period End 12
Primary contact name PAM USATCH
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

PAM USATCH
PRESIDENT
8362 WINDSONG TRAIL
CONCORD TWP OH 44077-9248

Officer/Director/Trustee Two

RENELLE BOUFFARD
VICE PRESIDENT
8280 CAMBDEN CROSSING WAY
CONCORD TWP OH 44077-8561

Officer/Director/Trustee Three

CAROLYN FENDER
SECRETARY
543 BEECHWOOD LANE
PAINESVILLE OH 44077-6123

Officer/Director/Trustee Four

VICKIE CHECK
TREASURER
1644 NORTH SHORE
PAINESVILLE OH 44077-4679

Officer/Director/Trustee Five

MELISSA THOMPSON
FUND RAISING DIRECTOR
919 TRADEWINDS COVE
PAINESVILLE OH 44077-4699

Organization’s website TSHQ.BLUESOMBRERO.COM/RIVERSIDEGLAX
Organization’s email RIVERSIDEGIRLSLACROSSE@GMAIL.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 10/14/2017
Organization Incorporation State OH
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: Yes
Religious: No
Educational: No
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 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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