FORM 1023-EZ for ELKHORN WRESTLING CLUB

Field Data
EIN 30-0947853
Case Number EO-2016251-000141
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name ELKHORN WRESTLING CLUB
Organization’s Mailing Address 17342 REDMAN CIR
City OMAHA
State NE
ZIP 68116
Accounting period End 12
Primary contact name TERRY HERR
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

TERRY HERR
PRESIDENT AND DIRECTOR
17342 REDMAN CIR
OMAHA NE 68116

Officer/Director/Trustee Two

BILL HARRAHILL
SECRETARY AND DIRECTOR
1635 N 173RD ST
OMAHA NE 68118

Officer/Director/Trustee Three

TERESA HERR
TREASURER AND DIRECTOR
17342 REDMAN CIR
OMAHA NE 68116

Officer/Director/Trustee Four

BRIAN STARA
MEMBER AT LARGE AND DIRECTOR
20610 ANTLER
ELKHORN NE 68022

Officer/Director/Trustee Five

MICHAEL WICKER
MEMBER AT LARGE AND DIRECTOR
20008 HANSEN AVE
OMAHA NE 68130

Organization’s website
Organization’s email EWC987@GMAIL.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 7/28/2016
Organization Incorporation State NE
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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