FORM 1023-EZ for VHS INDIANS LACROSSE BOOSTER CLUB INC

Field Data
EIN 82-1612356
Case Number EO-2018220-000245
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name VHS INDIANS LACROSSE BOOSTER CLUB INC
Organization’s Mailing Address 4108 HEARTHSTONE DR
City SARASOTA
State FL
ZIP 34238
Accounting period End 12
Primary contact name REBECCA MOYER
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

REBECCA MOYER
PRESIDENT
4108 HEARTHSTONE DR
SARASOTA FL 34229

Officer/Director/Trustee Two

GREG SILVIA
TREASURER
380 PATTON STREET
NOKOMIS FL 34238

Officer/Director/Trustee Three

TRACI WHEELER
VICE PRESIDENT -BOYS TEAM
1340 FEATHERBED LN
VENICE FL 34285

Officer/Director/Trustee Four

JANET BULEY
VICE PRESIDENT- GIRLS TEAM
129 WADING BIRD DRIVE
VENICE FL 34292

Officer/Director/Trustee Five

LAURA MAGNUSSON
SECRETARY
217 ALBEE RD EAST
NOKOMIS FL 34275-2103

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 5/17/17
Organization Incorporation State FL
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code O12 - Fund Raising and/or Fund Distribution
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 REBECCA MOYER
Signature Title PRESIDENT
Signature Date 8/6/18

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