FORM 1023-EZ for CDS AZTEC LACROSSE CLUB

Field Data
EIN 47-2976903
Case Number EO-2015176-000338
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name CDS AZTEC LACROSSE CLUB
Organization’s Mailing Address 9920 S RURAL ROAD SUITE 108-7
City TEMPE
State AZ
ZIP 85284-4100
Accounting period End 6
Primary contact name M PEGEEN CONSOER
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

CLIFF PRAUSA
CHAIRMAN
1269 E JEANINE DRIVE
TEMPE AZ 85284

Officer/Director/Trustee Two

LU ANN BUSSLER
PRESIDENT
871 N FOREST COURT
CHANDLER AZ 88226

Officer/Director/Trustee Three

DEB SION
VICE PRESIDENT
3155 W TYSON PLACE
CHANDLER AZ 85226

Officer/Director/Trustee Four

KENNA LOCASCIO
SECRETARY
1525 E LA VIEVE LANE
TEMPE AZ 85284

Officer/Director/Trustee Five

M PEGEEN CONSOER
TREASURER
7702 S ALDER DRIVE
TEMPE AZ 85284

Organization’s website WWW.AZTECLAXBOOSTERS.ORG
Organization’s email AZTECLAXCLUB@GMAIL.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 2/23/2015
Organization Incorporation State AZ
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: Yes
Religious: No
Educational: Yes
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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