FORM 1023-EZ for UNION LACROSSE CLUB

Field Data
EIN 81-4400138
Case Number EO-2016319-000567
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name UNION LACROSSE CLUB
Organization’s Mailing Address 16420 SE MCGILLIVRAY STE 103 BX 508
City VANCOUVER
State WA
ZIP 98683
Accounting period End 12
Primary contact name AMANDA FELS
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

MIKE LINDHORST
PRESIDENT
16420 SE MCGILLIVRAY STE 103 BX 508
VANCOUVER WA 98683

Officer/Director/Trustee Two

ALLISON MOSES
TREASURER
23018 NE 83RD ST
VANCOUVER WA 98682

Organization’s website UNIONLAX.COM
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 6/15/2015
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: 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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