FORM 1023-EZ for AUBURN YOUTH LACROSSE ASSOCIATION

Field Data
EIN 82-1677868
Case Number EO-2017173-000257
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name AUBURN YOUTH LACROSSE ASSOCIATION
Organization’s Mailing Address PO BOX 1245
City AUBURN
State WA
ZIP 98071
Accounting period End 7
Primary contact name TRISTA SUTHERLAND
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

SCOTT PERRY
PRESIDENT
21519 22ND ST CT E
LAKE TAPPS WA 98391

Officer/Director/Trustee Two

CRAIG BELCHER
VICE PRESIDENT
21509 21ST ST E
LAKE TAPPS WA 98391

Officer/Director/Trustee Three

SHANE MCNICHOLS
TREASURER
2411 T ST NW
AUBURN WA 98001

Officer/Director/Trustee Four

KATHI LUCCHESI
SECRETARY
3219 170TH AVE E
LAKE TAPPS WA 98391

Officer/Director/Trustee Five

JASON SUTHERLAND
DIRECTOR - AT LARGE
3660 53RD STREET SE
AUBURN WA 98092

Organization’s website WWW.AYLAX.ORG
Organization’s email ADMIN@AYLAX.ORG
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 5/12/2017
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: Yes
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
Signature Title
Signature Date

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