FORM 1023-EZ for GRANGEVILLE YOUTH WRESTLING INC

Field Data
EIN 83-3446523
Case Number EO-2021112-000271
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name GRANGEVILLE YOUTH WRESTLING INC
Organization’s Mailing Address 77 H APPY HOLLOW RD
City GRANGEVILLE
State ID
ZIP 83530
Accounting period End 12
Primary contact name ERIC TAYLOR
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

JERRICA JACKSON
DIRECTOR
227 PRAIRE RD
GRANGEVILLE ID 83530

Officer/Director/Trustee Two

SHAUYNA HOUSE
DIRECTOR
PO BOX 38
GRANGEVILLE ID 83530

Officer/Director/Trustee Three

SERENA JACKSON
DIRECTOR
185 JACKS RD
CLEARWATER ID 83552

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 2/11/2021
Organization Incorporation State ID
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: 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 Yes
One Third Support Gifts No
Benefit of College No
Private Foundation 508(e) No
Seeking Retroactive Reinstatement No
Seeking Section 7 Reinstatement No
Correctness Declaration Yes
Signature Name SERENA JACKSON
Signature Title DIRECTOR
Signature Date 4/20/2021

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