FORM 1023-EZ for GILLETTE AREA LACROSSE

Field Data
EIN 82-0627784
Case Number EO-2017093-000253
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name GILLETTE AREA LACROSSE
Organization’s Mailing Address 303 WEST 11TH ST
City GILLETTE
State WY
ZIP 82716
Accounting period End 2
Primary contact name JENNIFER BETTS
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

JENNIFER BETTS
PRESIDENT/DIRECTOR
303 WEST 11TH ST
GILLETTE WY 82716-0004

Officer/Director/Trustee Two

MICHALE PIERINI
VICE PRESIDENT/SECRETARY
1700 WEST WARLOW DRIVE
GILLETTE WY 82716-0004

Officer/Director/Trustee Three

RHEA BETTS
TREASURER
2712 CASCADE COURT
GILLETTE WY 82718-0004

Organization’s website
Organization’s email GILLETTEAREALACROSSE@GMAIL.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 2/3/2017
Organization Incorporation State WY
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code N60 - Amateur Sports Clubs, Leagues, N.E.C.
Organization’s purpose Charitable: No
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 Yes
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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