FORM 1023-EZ for SOUTH GIBSON LACORSSE INC

Field Data
EIN 82-0862731
Case Number EO-2017109-000169
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name SOUTH GIBSON LACORSSE INC
Organization’s Mailing Address 19149 SOUTHAMPTON DR
City EVANSVILLE
State IN
ZIP 47725
Accounting period End 4
Primary contact name JEFF PLASSE
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

JEFF PLASSE
PRESIDENT
19149 SOUTHAMPTON DR
EVANSVILLE IN 47725

Officer/Director/Trustee Two

TONY BUTLER
VICE PRESIDENT
7876 S 45 E
FT BRANCH IN 47648

Officer/Director/Trustee Three

JAMES NICHOLS
TREASURER
512 GISH DR
EVANSVILLE IN 47711

Officer/Director/Trustee Four

STACEY WILLIAMX
SECRETARY
105 W STRAIN STREET
FT BRANCH IN 47648

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 4/1/2017
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: 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
Signature Title
Signature Date

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