FORM 1023-EZ for AVON LACROSSE INC

Field Data
EIN 47-1456657
Case Number EO-2014339-000031
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name AVON LACROSSE INC
Organization’s Mailing Address 8663 GOLDEN FALLS CIRCLE
City AVON
State IN
ZIP 46123
Accounting period End 6
Primary contact name LISA GEMMER
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

LISA GEMMER
PRESIDENT
8663 GOLDEN FALLS CIRCLE
AVON IN 46123

Officer/Director/Trustee Two

CHAD KIRCHHOFF
VICE PRESIDENT
930 HEATHROW LANE
AVON IN 46123

Officer/Director/Trustee Three

DOUGLAS PALMQUIST
HEAD COACH
8593 HOLM MOUNTAIN CIRCLE
AVON IN 46123

Officer/Director/Trustee Four

STUART TROTTER
ASST. COACH
486 SOUTHPOINT CIRCLE
BROWNSBURG IN 46112

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 12/2/2014
Organization Incorporation State IN
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: 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 Yes
Donation of funds Yes
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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