FORM 1023-EZ for HEART AND PRIDE WRESTLING CLUB ANDFITNESS CENTER

Field Data
EIN 47-3927123
Case Number EO-2015146-000460
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name HEART AND PRIDE WRESTLING CLUB ANDFITNESS CENTER
Organization’s Mailing Address 809 WATER HYACINTH LOOP
City LEANDER
State TX
ZIP 78641
Accounting period End 12
Primary contact name RANDY BRYANT
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

RANDY MARTELL BRYANT
PRESIDENT
809 WATER HYACINTH LOOP
LEANDER TX 78641

Officer/Director/Trustee Two

TABITHIA LEIGHANN RAMSEY STANTON
TREASURER
2811 LA FRONTERA BLVD APT 837
AUSTIN TX 78728

Officer/Director/Trustee Three

RAQUEL ANASTACIA WOODRUFF
SECRETARY
2312 BITTER CREEK DR
AUSTIN TX 78744

Officer/Director/Trustee Four

MARIA EDITH ROMERO CORIA
VICE PRESIDENT
809 WATER HYACINTH LOOP
LEANDER TX 78641

Officer/Director/Trustee Five

PATRICK ALAN TIMMONS
LEAD INSTRUCTOR / PROGRAM DIRECTOR
9605 N CREEK DR
AUSTIN TX 78753

Organization’s website WWW.HEARTANDPRIDE.COM
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 4/27/2015
Organization Incorporation State TX
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
Signature Title
Signature Date

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