FORM 1023-EZ for RESTON HERNDON YOUTH WRESTLING

Field Data
EIN 84-1758263
Case Number EO-2019140-000523
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name RESTON HERNDON YOUTH WRESTLING
Organization’s Mailing Address 11503 DROP FORGE LANE
City RESTON
State VA
ZIP 20191-3903
Accounting period End 12
Primary contact name DANIEL MILLER
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

DANIEL MILLER
CHAIRMAN OF THE BOARD /DIRECTOR
11503 DROP FORGE LANE
RESTON VA 20191-3903

Officer/Director/Trustee Two

ROBERT SHEEHAN
EXECUTIVE DIRECTOR /DIRECTOR
12214 WESTWOOD HILL DRIVE
OAK HILL VA 20171-1511

Officer/Director/Trustee Three

RICHARD EVANS
CHIEF OPERATING OFFICER /DIRECTOR
12653 TERRYMILL DRIVE
HERNDON VA 20171-2874

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 5/14/19
Organization Incorporation State VA
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 DANIEL MILLER
Signature Title CHAIRMAN OF THE BOARD /DIRECTOR
Signature Date 5/18/19

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