FORM 1023-EZ for LAFAYETTE LACROSSE CLUB

Field Data
EIN 36-4677383
Case Number EO-2017271-000232
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name LAFAYETTE LACROSSE CLUB
Organization’s Mailing Address 1553 MORNING SUN DRIVE
City BALLWIN
State MO
ZIP 63021-8416
Accounting period End 12
Primary contact name REN PETTINELLI
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

REN PETTINELLI
PRESIDENT
1553 MORNING SUN DRIVE
BALLWIN MO 63021-8416

Officer/Director/Trustee Two

JAMES POLITTE
VICE PRESIDENT
17714 LITTLELEAF CT
CHESTERFIELD MO 63005-4900

Officer/Director/Trustee Three

CASEY WILLIAMS
SECRETARY
17732 BIRCH LEAF CT
WILDWOOD MO 63005-4277

Organization’s website
Organization’s email
Organization Incorporated No
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 2/22/2011
Organization Incorporation State MO
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 Yes
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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