FORM 1023-EZ for PUERTO RICO LACROSSE INC

Field Data
EIN 66-0860800
Case Number EO-2016326-000069
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name PUERTO RICO LACROSSE INC
Organization’s Mailing Address URB HACIENDAS DE MIRAMAR CAL COR 5
City CABO ROJO
State PR
ZIP 00623
Accounting period End 5
Primary contact name NATHAN LOWMASTER
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

YARIZBETH ORTIZ
TREASURER
URB HACIENDAS DE MIRAMAR CAL COR 5
CABO ROJO PR 00623

Officer/Director/Trustee Two

NATHAN LOWMASTER
PRESIDENT
79 STONECROFT DRIVE
HORSEHEADS NY 14845-1659

Officer/Director/Trustee Three

MIGUEL LOZADA
SECRETARY
2565 PHYLLIS DRIVE
BELLMORE NY 11710-2311

Officer/Director/Trustee Four

LUIS GONZALEZ
VICE PRESIDENT
272 RIDGEVIEW DRIVE
ALBURTIS PA 18011-9343

Organization’s website WWW.PUERTORICOLAX.COM
Organization’s email NATHAN@PUERTORICOLAX.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 6/20/2016
Organization Incorporation State PR
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code N99 - Recreation, Sports, Leisure, Athletics 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 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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