FORM 1023-EZ for WASHINGTON ELITE LACROSSE CLUB

Field Data
EIN 84-2864117
Case Number EO-2019301-000657
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name WASHINGTON ELITE LACROSSE CLUB
Organization’s Mailing Address 1567 HIGHLANDS DR NE STE 110 235
City ISSAQUAH
State WA
ZIP 98029-6256
Accounting period End 2
Primary contact name KRISTIN BRENNOCK
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

JAY MAURER
PRESIDENT
2065 NE NELSON LANE
ISSAQUAH WA 98029

Officer/Director/Trustee Two

KRISTIN BRENNOCK
TREASURER
17216 SE 46TH ST
BELLEVUE WA 98006-6525

Officer/Director/Trustee Three

BROOKE KARR
VICE PRESIDENT
2129 NE NELSON LANE
ISSAQUAH WA 98029

Officer/Director/Trustee Four

DARCY PEREA
SECRETARY
2602 20TH AVE NE
ISSAQUAH WA 98029

Officer/Director/Trustee Five

MARIA ENG
PARENT LIAISON
4562 167TH AVE SE
BELLEVUE WA 98006

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 8/26/19
Organization Incorporation State WA
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: 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 No
Seeking Section 7 Reinstatement No
Correctness Declaration Yes
Signature Name KRISTIN BRENNOCK
Signature Title TREASURER
Signature Date 10/24/19

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