FORM 1023-EZ for VALLEY WRESTLING CLUB

Field Data
EIN 84-1076435
Case Number EO-2017293-000189
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name VALLEY WRESTLING CLUB
Organization’s Mailing Address 4978 32ND STREET
City GREELEY
State CO
ZIP 80634
Accounting period End 12
Primary contact name PATRICIA TRUJILLO
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

PATRICIA TRUJILLO
PRESIDENT
4978 32ND STREET
GREELEY CO 80634

Officer/Director/Trustee Two

CHANDA COOK
SECRETARY
329 SYCAMORE AVE
EATON CO 80615

Officer/Director/Trustee Three

VERONICA ANDERSON
MEMBER AT LARGE
3334 LAGUAN ST
GREELEY CO 80634

Officer/Director/Trustee Four

VINCENT ROYBAL
MEMBER AT LARGE
271 S RACHEL AVE
MILLIKEN CO 80543

Officer/Director/Trustee Five

CHAD BROWN
PARENT REP
501 50TH AVE
GREELEY CO 80634

Organization’s website
Organization’s email
Organization Incorporated No
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 10/11/2017
Organization Incorporation State CO
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: No
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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