FORM 1023-EZ for MANSFIELD AREA PANTHER LACROSSE INC

Field Data
EIN 84-1863442
Case Number EO-2019148-000324
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name MANSFIELD AREA PANTHER LACROSSE INC
Organization’s Mailing Address 61
City STORRS
State CT
ZIP 6268
Accounting period End 12
Primary contact name ROBERT GILDERSLEEVE
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

ROBERT GILDERSLEEVE
PRESIDENT
61 CHATHAM RD
STORRS CT 6268

Officer/Director/Trustee Two

SCOTT DUNSTAN
VICE PRESIDENT
939 STORRS RD
STORRS CT 6268

Officer/Director/Trustee Three

MICHAEL GNAZZO
TREASURER
19 WOODLAND TERRACE
COLUMBIA CT 6237

Officer/Director/Trustee Four

BONNIE MAJKUT
SECRETARY
25 PINE RIDGE LANE
MANSFIELD CITY CT 6250

Officer/Director/Trustee Five

JEN SCANLON-PASSMORE
BOARD MEMBER
668 MIDDLE TPKE
STORRS CT 6268

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 2/19/19
Organization Incorporation State CT
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 ROBERT GILDERSLEEVE
Signature Title PRESIDENT
Signature Date 5/23/19

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