FORM 1023-EZ for DANE COUNTY LACROSSE INC

Field Data
EIN 46-4171954
Case Number EO-2014363-000025
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name DANE COUNTY LACROSSE INC
Organization’s Mailing Address 1396 SAYLES TRAIL
City BELLEVILLE
State WI
ZIP 53508
Accounting period End 12
Primary contact name JOHN CIOCI
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

JOHN CIOCI
TREASURER
1396 SAYLES TRAIL
BELLEVILLE WI 53508

Officer/Director/Trustee Two

STEVE JOHNSON
PRESIDENT
3062 BOSSHARD DRIVE
FITCHBURG WI 53711

Officer/Director/Trustee Three

TIM PRINCE
VICE PRESIDENT
202 ACADIA DRIVE
MADISON WI 53717-1103

Officer/Director/Trustee Four

JONATHAN EDWARDS
SECRETARY
4478 SENTINEL PASS
FITCHBURG WI 53711-4725

Officer/Director/Trustee Five

TOM BRAZELTON
MEMBER AT LARGE
9410 HILL CREEK DRIVE
VERONA WI 53593-7977

Organization’s website DANECOUNTYLACROSSE.ORG
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 5/2/2013
Organization Incorporation State WI
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
Signature Title
Signature Date

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