FORM 1023-EZ for NICEVILLE EAGLES LACROSSE CLUB

Field Data
EIN 83-2998305
Case Number EO-2019086-000714
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name NICEVILLE EAGLES LACROSSE CLUB
Organization’s Mailing Address 1011 CROOKED CREEK COVE
City NICEVILLE
State FL
ZIP 32578
Accounting period End 12
Primary contact name KRISTA DOOLY
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

CHESTER DOOLY
PRESIDENT
1011 CROOKED CREEK COVE
NICEVILLE FL 32578

Officer/Director/Trustee Two

SANDY PAULSON
DIRECTOR, GIRLS PROGRAM
225 SWEETWATER RUN
NICEVILLE FL 32578

Officer/Director/Trustee Three

TIM GAASCH
DIRECTOR, BOYS PROGRAM
1421 RUM STILL CIRCLE
NICEVILLE FL 32578

Organization’s website NICEVILLELAX.COM
Organization’s email MATTDOOLY@GMAIL.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 1/1/19
Organization Incorporation State FL
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code N50 - Recreational, Pleasure, or Social Club
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 CHESTER DOOLY
Signature Title PRESIDENT
Signature Date 3/25/19

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