FORM 1023-EZ for BELLEVILLE LACROSSE CLUB

Field Data
EIN 87-2678487
Case Number EO-2021263-000327
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name BELLEVILLE LACROSSE CLUB
Organization’s Mailing Address 14 TRAVER TINE CIR
City MILLSTADT
State IL
ZIP 62260
Accounting period End 12
Primary contact name JEREMY KENNY
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

JEREMY KENNY
PRESIDENT
14 TRAVER TINE CIR
MILLSTADT IL 62260

Officer/Director/Trustee Two

RENAE KENNY
TREASURER
14 TRAVER TINE CIR
MILLSTADT IL 62260

Officer/Director/Trustee Three

GIAMBATTISTA PATTI
VICE PRESIDENT
204 HARVEST
MILLSTADT IL 62260

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 9/16/2021
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: 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 JEREMY KENNY
Signature Title PRESIDENT
Signature Date 9/16/2021

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