FORM 1023-EZ for MADISON YOUTH WRESTLING CLUB

Field Data
EIN 82-1484252
Case Number EO-2017172-000280
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name MADISON YOUTH WRESTLING CLUB
Organization’s Mailing Address 106 RAMM HEIGHTS DRIVE
City MADISON
State SD
ZIP 57042
Accounting period End 6
Primary contact name BILL PICKARD
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

PHIL DOWNS
DIRECTOR
903 NE 1ST ST
MADISON SD 57042

Officer/Director/Trustee Two

GABRIELLE NIELSEN
SECRETARY
215 WEST AVE N
MADISON SD 57042

Officer/Director/Trustee Three

MONICA PICKARD
TREASURER
106 RAMM HEIGHTS
MADISON SD 57042

Officer/Director/Trustee Four

BILL PICKARD
BOARDMEMBER 1
106 RAMM HEIGHTS
MADISON SD 57042

Officer/Director/Trustee Five

MIKE MCGILLEVRAY
BOARDMEMBER 2
931 NE 6TH ST
MADISON SD 57042

Organization’s website
Organization’s email
Organization Incorporated No
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 5/15/2017
Organization Incorporation State SD
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 Yes
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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