FORM 1023-EZ for MID-COLUMBIA ELITE LACROSSE

Field Data
EIN 47-1220240
Case Number EO-2014350-000261
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name MID-COLUMBIA ELITE LACROSSE
Organization’s Mailing Address 175 BEAR DRIVE
City RICHLAND
State WA
ZIP 99352
Accounting period End 6
Primary contact name DANIEL GASPAR
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

DANIEL GASPAR
PRESIDENT
175 BEAR DRIVE
RICHLAND WA 99352

Officer/Director/Trustee Two

JOSH BRIMBERRY
TREASURER
1535 35TH LOOP
KENNEWICK WA 99337

Officer/Director/Trustee Three

BRETT EKSTROM
SECRETARY
4807 SOUTH BEECH COURT
KENNEWICK WA 99337

Organization’s website MCELAX.COM
Organization’s email MCELAX@CHARTER.NET
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 6/6/2014
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: Yes
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
Signature Title
Signature Date

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