FORM 1023-EZ for 10TH MOUNTAIN LACROSSE INC

Field Data
EIN 82-5441594
Case Number EO-2018169-000623
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name 10TH MOUNTAIN LACROSSE INC
Organization’s Mailing Address 1739 SIERRA TRAIL UNIT 1B
City VAIL
State CO
ZIP 81657
Accounting period End 12
Primary contact name MATTHEW MARKS
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

EDWARD CASIAS
PRESIDENT
0055 COTTONWOOD DRIVE
DILLON CO 80435-4063

Officer/Director/Trustee Two

ELIZABETH DUXBURY
TREASURER
500 BIGHORN CIRCLE
SILVERTHORNE CO 80498

Officer/Director/Trustee Three

MARY QUINN
SECRETARY
569 LAKE VIEW CIRCLE WEST
BRECKENRIDGE CO 80424

Officer/Director/Trustee Four

DAVID LEVINSON
DIRECTOR
93 PELICAN CIRCLE UNIT 804
BRECKENRIDGE CO 80424

Officer/Director/Trustee Five

MICHAEL ONEILL
DIRECTOR
2015 NW FLANDERS STREET
PORTLAND OR 97209

Organization’s website WWW.10THMTNLAX.COM
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 4/24/18
Organization Incorporation State CO
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 EDWARD CASIAS
Signature Title PRESIDENT
Signature Date 6/14/18

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