FORM 1023-EZ for LHC YOUTH FOOTBALL INC

Field Data
EIN 86-0827427
Case Number EO-2021224-000231
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name LHC YOUTH FOOTBALL INC
Organization’s Mailing Address PO BOX 2231
City LAKE HAVASU CITY
State AZ
ZIP 86405
Accounting period End 12
Primary contact name DANIEL CROSS
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

DANIEL CROSS
PRESIDENT
1660 PAPAGO DR
LAKE HAVASU CITY AZ 86403

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 5/11/2017
Organization Incorporation State AZ
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code N65 - Football Clubs, Leagues
Organization’s purpose Charitable: Yes
Religious: No
Educational: No
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 Yes
Seeking Section 7 Reinstatement No
Correctness Declaration Yes
Signature Name DANIEL CROSS
Signature Title PRESIDENT
Signature Date 8/10/2021
EIN 86-0827427
Case Number EO-2017122-000155
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name LHC YOUTH FOOTBALL INC
Organization’s Mailing Address PO BOX 2231
City LAKE HAVASU
State AZ
ZIP 86405
Accounting period End 6
Primary contact name DAN CROSS
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

DAN CROSS
PRESIDENT
PO BOX 2231
LAKE HAVASU AZ 86405

Officer/Director/Trustee Two

TRACIE KREI
TREASURER
PO BOX 2231
LAKE HAVASU AZ 86405

Officer/Director/Trustee Three

JOSH STOWERS
VICE PRESIDENT
PO BOX 2231
LAKE HAVASU AZ 86405

Officer/Director/Trustee Four

TESSA CROSS
CERTIFICATION DIRECTOR
PO BOX 2231
LAKE HAVASU AZ 86405

Officer/Director/Trustee Five

JENNIE CROOK
SECRETARY
PO BOX 2231
LAKE HAVASU CITY AZ 86405

Organization’s website
Organization’s email HAVASUCHIEFS@GMAIL.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 9/17/1997
Organization Incorporation State AZ
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code N65 - Football Clubs, Leagues
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
Signature Title
Signature Date

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