FORM 1023-EZ for MAT BURNERS WRESTLING CLUB INC

Field Data
EIN 82-3453049
Case Number EO-2017326-000222
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name MAT BURNERS WRESTLING CLUB INC
Organization’s Mailing Address 10010 STATE HIGHWAY 67
City FLORENCE
State CO
ZIP 81226
Accounting period End 12
Primary contact name HEATHER BOEHM
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

HEATHER BOEHM
OFFICER
10010 STATE HIGHWAY 67 SOUTH
FLORENCE CO 81226

Officer/Director/Trustee Two

MICHAEL BOEHM
OFFICER
10010 STATE HIGHWAY 67 SOUTH
FLORENCE CO 81226

Officer/Director/Trustee Three

TROY KAMMERDIENER
OFFICER
126 GARDEN DRIVE
PENROSE CO 81240

Officer/Director/Trustee Four

STEPHANIE KAMMERDIENER
OFFICER
126 GARDEN DRIVE
PENROSE CO 81240

Officer/Director/Trustee Five

BRANDY PEEK
OFFICER
648 COWBOY WAY
CANON CITY CO 81212

Organization’s website HTTPS://MATBURNERSWRESTLINGCLUB.TEAMAPP.COM/
Organization’s email MATBURNERS@AOL.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 11/18/2017
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: 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 Yes
Conducting Activities Outside of United States No
Financial transactions with officers Yes
Unrelated Gross Income $1,000 or More No
Gaming Activity No
Disaster relief assistance No
One Third Support Public No
One Third Support Gifts No
Benefit of College No
Private Foundation 508(e) Yes
Seeking Retroactive Reinstatement No
Seeking Section 7 Reinstatement No
Correctness Declaration Yes
Signature Name
Signature Title
Signature Date

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