FORM 1023-EZ for EAST PAULDING WOMENS LACROSSE BOOSTER CLUB

Field Data
EIN 81-4294663
Case Number EO-2017024-000204
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name EAST PAULDING WOMENS LACROSSE BOOSTER CLUB
Organization’s Mailing Address 748 OLD GRIFFIN RD
City DALLAS
State GA
ZIP 30157
Accounting period End 12
Primary contact name MELODY PRATHER
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

SHERRY WILLIAMS
PRESIDENT
800 OLD GRIFFIN RD
DALLAS GA 30157

Officer/Director/Trustee Two

BENJAMIN SWEENEY
VICE PRESIDENT
288 BRIGHWATER DR
DALLAS GA 30157

Officer/Director/Trustee Three

PAGE BRANGLEY
SECRETARY
25 SPRINGVIEW CT
DALLAS GA 30157

Officer/Director/Trustee Four

MELODY PRATHER
TREASURER
748 OLD GRIFFIN RD
DALLAS GA 30157

Organization’s website WWW.EASTPAULDINGWOMENSLACROSSE.COM
Organization’s email MPRATHER5316@HOTMAIL.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 10/31/2016
Organization Incorporation State GA
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code N12 - Fund Raising and/or Fund Distribution
Organization’s purpose Charitable: Yes
Religious: No
Educational: No
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 Yes
One Third Support Gifts No
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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