FORM 1023-EZ for LAKES-ANTIOCH LACROSSE CLUB

Field Data
EIN 46-1656454
Case Number EO-2018011-000087
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name LAKES-ANTIOCH LACROSSE CLUB
Organization’s Mailing Address 1191 GOLDFINCH LANE
City ANTIOCH
State IL
ZIP 60002
Accounting period End 12
Primary contact name PATRICK GRAS
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

SUE DAY
PRESIDENT
1060 BISHOP
ANTIOCH IL 60002-1502

Officer/Director/Trustee Two

THOR SWANSON
VICE PRESIDENT
25059 EDGAR
ANTIOCH IL 60002-8977

Officer/Director/Trustee Three

PATRICK GRAS
TREASURER
1191 GOLDFINCH LANE
ANTIOCH IL 60002-6411

Organization’s website LAKESLAX.COM
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 1/1/16
Organization Incorporation State IL
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: 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 PATRICK GRAS
Signature Title TREASURER
Signature Date 1/9/18

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