FORM 1023-EZ for LACROSSE ASSOCIATION OF WATERTOWN

Field Data
EIN 30-0382506
Case Number EO-2018051-000132
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name LACROSSE ASSOCIATION OF WATERTOWN
Organization’s Mailing Address 562 LINKFIELD RD
City WATERTOWN
State CT
ZIP 6795-1410
Accounting period End 12
Primary contact name ATTORNEY NEIL P CONNORS
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

TIMOTHY BOUCHER
PRESIDENT
158 CUTLER STREET
WATERTOWN CT 6795-2241

Officer/Director/Trustee Two

LISA MEHLIN
VICE PRESIDENT
109 RANDOR LANE
OAKVILLE CT 6779

Officer/Director/Trustee Three

JESSICA DISAPIO
TREASURER
1745 GUERNSEYTOWN ROAD
WATERTOWN CT 6795-2241

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 11/18/04
Organization Incorporation State CT
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: No
Religious: No
Educational: Yes
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 Yes
Correctness Declaration Yes
Signature Name JESSICA DISAPIO
Signature Title TREASURER
Signature Date 2/15/18

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