FORM 1023-EZ for NORTHERN VIRGINIA WRESTLING CLUB

Field Data
EIN 81-2439474
Case Number EO-2016286-000164
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name NORTHERN VIRGINIA WRESTLING CLUB
Organization’s Mailing Address 4012 HALLMAN ST APT 2
City FAIRFAX
State VA
ZIP 22030
Accounting period End 12
Primary contact name TANNER SEWELL
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

TANNER SEWELL
BOARD MEMBER
4012 HALLMAN ST APT 2
FAIRFAX VA 22030

Officer/Director/Trustee Two

NADER HASAN
BOARD MEMBER
10603 JUDICIAL DR
FAIRFAX VA 22030

Officer/Director/Trustee Three

TOM SCIBILIA
BOARD MEMBER
10231 TECUMSEH LANE
FAIRFAX VA 22030

Officer/Director/Trustee Four

JOHN PARTRIDGE
BOARD MEMBER
PO BOX 34
VIENNA VA 22180

Officer/Director/Trustee Five

MICHAEL BOWMAN
BOARD MEMBER
626 INDEPENDENCE AVE APT 304
WASHINGTON DC 20002

Organization’s website
Organization’s email NOVAWRESTLINGCLUB@GMAIL.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 5/3/2016
Organization Incorporation State VA
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code B80 - Student Services, Organizations of Students
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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