FORM 1023-EZ for LAWRENCE HOCKEY CLUB INC

Field Data
EIN 26-3607441
Case Number EO-2017317-000472
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name LAWRENCE HOCKEY CLUB INC
Organization’s Mailing Address 16731 GEORGE GANG BLVD
City WESTFIELD
State IN
ZIP 46062
Accounting period End 6
Primary contact name RANDALL DOHSE
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

GREGORY LEE
PRESIDENT
1029 E GREYHOUND PASS
WESTFIELD IN 46032

Officer/Director/Trustee Two

RANDALL DOHSE
VICE PRESIDENT
16731 GEORGE GANG BLVD
WESTFIELD IN 46062

Officer/Director/Trustee Three

KATHY HENKEL
TREASURER
1415 BREWSTER RD
INDIANAPOLIS IN 46260

Officer/Director/Trustee Four

SUSAN BOWSER
SECRETARY
4310 BOCA GRANDE CT
WESTFIELD IN 46062

Organization’s website WWW.ETEAMZ.COM/WESTFIEDICEROCKS/
Organization’s email RDOHSE@CHARTER.NET
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 8/25/2008
Organization Incorporation State IN
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 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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