FORM 1023-EZ for DEER PARK WRESTLING CLUB

Field Data
EIN 91-1465852
Case Number EO-2017046-000219
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name DEER PARK WRESTLING CLUB
Organization’s Mailing Address PO BOX 4
City DEER PARK
State WA
ZIP 99006
Accounting period End 12
Primary contact name CATHY KONZAL
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

BRIAN PRIDDY
PRESIDENT
29615 N SPOTTED RD
DEER PARK WA 99006

Officer/Director/Trustee Two

CATHY KONZAL
TREASURER
7906 N NINE MILE RD
NINE MILE WA 99026

Officer/Director/Trustee Three

KARRI WILLIAMS-NEWMAN
SECRETARY
42198 D SHORE ACRES RD
LOON LAKE WA 99148

Organization’s website
Organization’s email CKONZAL@YAHOO.COM
Organization Incorporated No
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 10/21/2016
Organization Incorporation State WA
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code B12 - Fund Raising and/or Fund Distribution
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 No
Benefit of College No
Private Foundation 508(e) Yes
Seeking Retroactive Reinstatement No
Seeking Section 7 Reinstatement No
Correctness Declaration Yes
Signature Name
Signature Title
Signature Date

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