FORM 1023-EZ for REITZ HIGH SCHOOL BOYS LACROSSE CLUB INC

Field Data
EIN 47-2408398
Case Number EO-2014356-000420
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name REITZ HIGH SCHOOL BOYS LACROSSE CLUB INC
Organization’s Mailing Address 5200 W MILL RD
City EVANSVILLE
State IN
ZIP 47720
Accounting period End 12
Primary contact name DAREN HARMON
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

DAREN HARMON
PRESIDENT
5200 W MILL RD
EVANSVILLE IN 47720

Officer/Director/Trustee Two

JENNIFER PALMER
TREASURER/SECRETARY
3301 CAVE AVE
EVANSVILLE IN 47720

Officer/Director/Trustee Three

MARGARET COOMES
DIRECTOR
6901 HENZE RD
EVANSVILLE IN 47720

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 11/25/2014
Organization Incorporation State IN
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code T50 - Philanthropy, Charity, Voluntarism Promotion, General
Organization’s purpose Charitable: Yes
Religious: No
Educational: No
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 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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