FORM 1023-EZ for JENISON LACROSSE

Field Data
EIN 47-3184998
Case Number EO-2017095-000251
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name JENISON LACROSSE
Organization’s Mailing Address 2330 PINE
City JENISON
State MI
ZIP 49428
Accounting period End 12
Primary contact name AMANDA JENKINS
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

TIMOTHY CARE
DIRECTOR
2330 PINE
JENISON MI 49428

Officer/Director/Trustee Two

AMANDA JENKINS
TREASURER
2370 OAK HOLLOW DR
JENISON MI 49428

Officer/Director/Trustee Three

SHANNON BRAUNING
COMMUNICATIONS
6419 ORCHID DR
JENISON MI 49428

Organization’s website WWW.JENISONLACROSSE.ORG
Organization’s email JENISONLACROSSE@OUTLOOK.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 12/7/2016
Organization Incorporation State MI
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 Yes
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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