FORM 1023-EZ for LAKE WASHINGTON LACROSSE ASSOCIATION DBA EASTLAKE LACROSSE

Field Data
EIN 54-2111425
Case Number EO-2017089-000348
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name LAKE WASHINGTON LACROSSE ASSOCIATION DBA EASTLAKE LACROSSE
Organization’s Mailing Address 704 228TH AVE NE
City SAMMAMISH
State WA
ZIP 98074-7222
Accounting period End 6
Primary contact name CHRIS BEAN
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

BRAD STRAW
PRESIDENT
3056 206TH WAY NE
SAMMAMISH WA 98074

Officer/Director/Trustee Two

KIM MORSE
TREASURER
6214 E LK SAMMAMISH PKWY NE NO 102
REDMOND WA 98052

Officer/Director/Trustee Three

DOUGLAS MAUTZ
SECRETARY
2413 222ND AVE NE
SAMMAMISH WA 98074

Officer/Director/Trustee Four

CHRIS BEAN
DIRECTOR
2215 244TH AVE NE
SAMMAMISH WA 98074

Organization’s website WWW.EASTLAKELACROSSE.ORG
Organization’s email BRAD@EASTLAKELACROSSE.ORG
Organization Incorporated No
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 5/1/2004
Organization Incorporation State WA
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code N03 - Professional Societies, Associations
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 Yes
Seeking Section 7 Reinstatement No
Correctness Declaration Yes
Signature Name
Signature Title
Signature Date

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