FORM 1023-EZ for SOUTH FORSYTH GIRLS LACROSSE BOOSTER CLUB INC

Field Data
EIN 81-4775481
Case Number EO-2017018-000406
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name SOUTH FORSYTH GIRLS LACROSSE BOOSTER CLUB INC
Organization’s Mailing Address 1595 PEACHTREE PARKWAY ST 204-144
City CUMMING
State GA
ZIP 30041
Accounting period End 7
Primary contact name LAURA MELE
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

TRAVIS PEARE
CHAIRMAN
3651 DEVENWOOD WAY
BUFORD GA 30519

Officer/Director/Trustee Two

BRIAN FORD
PRESIDENT
6345 RUTHERFORD PL
SUWANEE GA 30024

Officer/Director/Trustee Three

LAURA HILL
VP/SECRETARY
2740 ELKHORN CT
CUMMING GA 30041

Officer/Director/Trustee Four

LAURA MELE
TREASURER
2077 GRANGEHILL WAY
CUMMING GA 30041

Officer/Director/Trustee Five

MARY ELLEN MURTHA
MEMBER AT LARGE
2860 TATTERSALL COURT
CUMMING GA 30041

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 12/9/2016
Organization Incorporation State GA
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: No
Cruelty Prevention: No
Qualify For Exemption No
Legislation influence No
Compensation of Officer director trustee Yes
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 Yes
One Third Support Gifts No
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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