FORM 1023-EZ for ROAD WARRIORS LACROSSE INC

Field Data
EIN 82-2752596
Case Number EO-2017256-000381
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name ROAD WARRIORS LACROSSE INC
Organization’s Mailing Address 1105 N MARKET STREET SUITE 1700
City WILMINGTON
State DE
ZIP 19801
Accounting period End 12
Primary contact name RAFAEL X ZAHRALDDIN
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

RAFAEL ZAHRALDDIN
TRUSTEE
1105 N MARKET ST SUITE 1700
WILMINGTON DE 19801

Officer/Director/Trustee Two

MARK BURNAM
TRUSTEE
1105 N MARKET ST SUITE 1700
WILMINGTON DE 19801

Officer/Director/Trustee Three

BRIAN WONG
TRUSTEE
1105 N MARKET ST SUITE 1700
WILMINGTON DE 19801

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 9/1/2017
Organization Incorporation State DE
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code O99 - Youth Development N.E.C.
Organization’s purpose Charitable: Yes
Religious: No
Educational: Yes
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 Yes
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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