FORM 1023-EZ for LAKESHORE RIPTIDE INC

Field Data
EIN 82-2761927
Case Number EO-2017310-000356
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name LAKESHORE RIPTIDE INC
Organization’s Mailing Address 602 FIELDCREST CIR
City WANATAH
State IN
ZIP 46390
Accounting period End 12
Primary contact name BRIAN P GLISIC
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

BRIAN GLISIC
PRESIDENT
602 FIELDCREST CIR
WANATAH IN 46390

Officer/Director/Trustee Two

AARON RUST
VICE PRESIDENT
105 EVERGREEN AVE
LACROSSE IN 46348

Officer/Director/Trustee Three

THOMAS SULLIVAN JR
SECRETARY
202 W WHEELER ST
HANNA IN 46340

Officer/Director/Trustee Four

GEORGE PUTZ
TREASURER
432 SHADELAND CT
VALPARAISO IN 46383

Organization’s website
Organization’s email LAKESHOREBASEBALLCLUB@GMAIL.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 9/15/2017
Organization Incorporation State IN
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code N63 - Baseball, Softball
Organization’s purpose Charitable: No
Religious: No
Educational: Yes
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
Signature Title
Signature Date

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