FORM 1023-EZ for PARKVIEW LACROSSE BOOSTER CLUB

Field Data
EIN 27-2008133
Case Number EO-2015357-000119
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name PARKVIEW LACROSSE BOOSTER CLUB
Organization’s Mailing Address PO BOX 220
City LILBURN
State GA
ZIP 30048
Accounting period End 12
Primary contact name LAWRENCE HAUCH
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

LAWRENCE HAUCH
PRESIDENT
1494 SUGAR MAPLE CT
LILBURN GA 30047

Officer/Director/Trustee Two

CHRISTY GRAY
TREASURER
373 WILEY CIRCLE
LILBURN GA 30047

Officer/Director/Trustee Three

GINNY BURT
SECRETARY
4269 CATAMOUNT DR
LILBURN GA 30047

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 11/3/2010
Organization Incorporation State GA
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code N12 - Fund Raising and/or Fund Distribution
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 Yes
Seeking Section 7 Reinstatement No
Correctness Declaration Yes
Signature Name
Signature Title
Signature Date

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