FORM 1023-EZ for THE LANE TECH LACROSSE BOOSTER CLUB

Field Data
EIN 82-1444958
Case Number EO-2017130-000391
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name THE LANE TECH LACROSSE BOOSTER CLUB
Organization’s Mailing Address 2318 W CULLOM AVE
City CHICAGO
State IL
ZIP 60618
Accounting period End 8
Primary contact name AMY ANDREWS
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

ALEX TAIT
PRESIDENT
2660 N MARSHFIELD
CHICAGO IL 60614

Officer/Director/Trustee Two

CUSHMAN ANDREWS
VICE-PRESIDENT
2318 W CULLOM
CHICAGO IL 60618

Officer/Director/Trustee Three

MARC ADAMA
TREASURER
848 W WOLFRAM
CHICAGO IL 60657

Officer/Director/Trustee Four

TINA VELAZQUEZ
SECRETARY
7741 W NORWOOD
CHICAGO IL 60631

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 5/5/2017
Organization Incorporation State IL
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code O12 - Fund Raising and/or Fund Distribution
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 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 No
Benefit of College No
Private Foundation 508(e) Yes
Seeking Retroactive Reinstatement No
Seeking Section 7 Reinstatement No
Correctness Declaration Yes
Signature Name
Signature Title
Signature Date

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