FORM 1023-EZ for VESTAVIA LACROSSE ORGANIZATION INC

Field Data
EIN 82-0742861
Case Number EO-2018144-000043
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name VESTAVIA LACROSSE ORGANIZATION INC
Organization’s Mailing Address 1417 BADHAM DR
City VESTAVIA
State AL
ZIP 35216
Accounting period End 6
Primary contact name BILL LORIMER
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

DEBRA HAYS
PRESIDENT
421 LONGVIEW DRIVE
VESTAVIA HILLS AL 35216

Officer/Director/Trustee Two

MARK WAVRA
TREASURER
3357 SOUTH COVE TRACE
VESTAVIA HILLS AL 35216

Officer/Director/Trustee Three

RANDY NANCE
BOARD MEMBER
206 MECCA AVENUE
BIRMINGHAM AL 35209

Officer/Director/Trustee Four

DENNIS LIPFORD
BOARD MEMBER
1205 CEDARDELL LANE
VESTAVIA HILLS AL 35216

Officer/Director/Trustee Five

TARIN RAFFERTY
BOARD MEMBER
1459 WILLOUGHBY CIRCLE
VESTAVIA HILLS AL 35216

Organization’s website HTTP://VESTAVIALAX.COM
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 3/2/17
Organization Incorporation State AL
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: 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 DEBRA HAYS
Signature Title PRESIDENT
Signature Date 5/22/18

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