FORM 1023-EZ for WEST FLORIDA LACROSSE CLUB INC

Field Data
EIN 84-1770030
Case Number EO-2020198-000092
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name WEST FLORIDA LACROSSE CLUB INC
Organization’s Mailing Address 116 MILLET CIRCLE
City CANTONMENT
State FL
ZIP 32533
Accounting period End 12
Primary contact name JUSTIN LUCIANO
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

JUSTIN LUCIANO
PRESIDENT
116 MILLET CIRCLE
CANTONMENT FL 32533

Officer/Director/Trustee Two

BRITTELLEN LUCIANO
VICE PRESIDENT
116 MILLET CIRCLE
CANTONMENT FL 32533

Officer/Director/Trustee Three

KIM HELTON
TREASURER
2038 INDIA AVE
PENSACOLA FL 32526

Officer/Director/Trustee Four

JENNIFER DANIEL
SECRETARY
629 CALDERWOOD COURT
PENSACOLA FL 32524

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 5/15/2019
Organization Incorporation State FL
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code N99 - Recreation, Sports, Leisure, Athletics 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 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 No
Benefit of College No
Private Foundation 508(e) Yes
Seeking Retroactive Reinstatement No
Seeking Section 7 Reinstatement No
Correctness Declaration Yes
Signature Name JUSTIN LUCIANO
Signature Title PRESIDENT
Signature Date 7/14/2020

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