FORM 1023-EZ for NORTH IDAHO YOUTH LACROSSE

Field Data
EIN 81-5337557
Case Number EO-2019030-000263
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name NORTH IDAHO YOUTH LACROSSE
Organization’s Mailing Address PO BOX 1581
City HAYDEN
State ID
ZIP 83835
Accounting period End 12
Primary contact name ANDREW GOODSELL
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

ANDREW GOODSELL
PRESIDENT
6004 N PINEGROVE DR
COEUR D' ALENE ID 83815

Officer/Director/Trustee Two

DOUG STAFFORD
VICE PRESIDENT
2707 E MOCKINGBIRD LOOP
HARRISON ID 83833

Officer/Director/Trustee Three

GEORGE BOIFEUILLET
SECRETARY / TREASURER
1275 E WHISPERING PINES RD
HAYDEN ID 83835

Officer/Director/Trustee Four

RYAN MORRISON
BOARD MEMBER
13439 N SHIMMERING CT
RATHDRUM ID 83858

Organization’s website WWW.NORTHIDAHOYOUTHLACROSSE.ORG
Organization’s email NIYOUTHLACROSSE@ROADRUNNER.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 2/13/17
Organization Incorporation State ID
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: 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 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 ANDREW GOODSELL
Signature Title PRESIDENT
Signature Date 12/21/18

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