FORM 1023-EZ for LEVIATHAN WRESTLING CLUB

Field Data
EIN 47-2430522
Case Number EO-2015028-000401
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name LEVIATHAN WRESTLING CLUB
Organization’s Mailing Address 816 ODDSTAD BLVD
City PACIFICA
State CA
ZIP 94044
Accounting period End 8
Primary contact name MOLLY GRABOWSKI
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

DENNIS SHILLINGBURG
PRESIDENT
1004 VALENCIA WAY
PACIFICA CA 94044

Officer/Director/Trustee Two

DANIEL WOO
VICE PRESIDENT, OPERATIONS
758 PRAIRIE CREEK
PACIFICA CA 94044

Officer/Director/Trustee Three

STEVE BIGLER
VICE PRESIDENT, TOURNAMENTS
1151 PALOU DRIVE
PACIFICA CA 94044

Officer/Director/Trustee Four

HEATHER CAMPAGNA
TREASURER
1015 NORTH ROSITA COURT
PACIFICA CA 94044

Officer/Director/Trustee Five

MOLLY GRABOWSKI
SECRETARY
816 ODDSTAD BLVD
PACIFICA CA 94044

Organization’s website
Organization’s email LEVIATHANWRESTLING@GMAIL.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 11/17/2014
Organization Incorporation State CA
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 Yes
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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