FORM 1023-EZ for PEWAUKEE LACROSSE INC

Field Data
EIN 83-3282713
Case Number EO-2019070-000219
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name PEWAUKEE LACROSSE INC
Organization’s Mailing Address N25W30824 OVERLOOK COURT
City PEWAUKEE
State WI
ZIP 53072
Accounting period End 12
Primary contact name MEAGAN KASKA
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

MEAGAN KASKA
DIRECTOR
N25W30824 OVERLOOK COURT
PEWAUKEE WI 53072

Officer/Director/Trustee Two

BRIAN SHERMAN
DIRECTOR
N29W26444 BUCKS ISLAND COURT
PEWAUKEE WI 53072

Officer/Director/Trustee Three

DACIA HOPKINS
DIRECTOR
W261N2881 DEER HAVEN DRIVE
PEWAUKEE WI 53072

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 1/24/19
Organization Incorporation State WI
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 MEAGAN KASKA
Signature Title DIRECTOR
Signature Date 3/8/19

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