FORM 1023-EZ for RICHMOND LACROSSE ACADEMY

Field Data
EIN 84-2498621
Case Number EO-2020317-000649
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name RICHMOND LACROSSE ACADEMY
Organization’s Mailing Address 104 NORTH BELMONT AVENUE
City RICHMOND
State VA
ZIP 23221
Accounting period End 12
Primary contact name DEREK RUSH
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

DEREK RUSH
PRESIDENT
104 N BELMONT AVE
RICHMOND VA 23221

Organization’s website
Organization’s email Drushrla@Gmail.com
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 5/29/2020
Organization Incorporation State VA
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code O50 - Youth Development Programs, Other
Organization’s purpose Charitable: Yes
Religious: No
Educational: Yes
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 Yes
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 DEREK RUSH
Signature Title PRESIDENT
Signature Date 11/10/2020

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