FORM 1023-EZ for BELLBROOK LACROSSE PARENTS CLUB INC

Field Data
EIN 84-4854792
Case Number EO-2020170-000166
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name BELLBROOK LACROSSE PARENTS CLUB INC
Organization’s Mailing Address 1777 CEDAR RIDGE DRIVE
City SPRING VALLEY
State OH
ZIP 45370
Accounting period End 9
Primary contact name BURTON HAGLER
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

BURTON HAGLER
PRESIDENT/DIRECTOR
1777 CEDAR RIDGE DRIVE
SPRING VALLEY OH 45370

Officer/Director/Trustee Two

MATTHEW MCCONNELL
VICE PRESIDENT
2238 IVY CREST DRIVE
BELLBROOK OH 45305

Officer/Director/Trustee Three

MOLLY MCCONNELL
TREASURER/DIRECTOR
2238 IVY CREST DRIVE
BELLBROOK OH 45305

Officer/Director/Trustee Four

VINCE MOLSEED
BOYS COACH/DIRECTOR
3429 HERITAGE TRACE DRIVE
BELLBROOK OH 45305

Officer/Director/Trustee Five

ALAINA FITZNER
SECRETARY/DIRECTOR
3964 SABLE RIDGE DRIVE
BELLBROOK OH 45305

Organization’s website
Organization’s email BLHAGLER@AOL.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 2/4/2020
Organization Incorporation State OH
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 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 BURTON HAGLER
Signature Title PRESIDENT/DIRECTOR
Signature Date 4/3/2020

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