FORM 1023-EZ for NICHOLAS COUNTY YOUTH WRESTLING INC

Field Data
EIN 47-5480527
Case Number EO-2016116-000265
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name NICHOLAS COUNTY YOUTH WRESTLING INC
Organization’s Mailing Address 2179 GROVES FORD RD
City SUMMERSVILLE
State WV
ZIP 26651
Accounting period End 12
Primary contact name WAYNE YOUNG CPA
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

SCOTT HOLCOMB
PRESIDENT
14562 WEBSTER RD
CALVIN WV 26660

Officer/Director/Trustee Two

RICK LEGGETT
VICE PRESIDENT
1395 GROVES FORD RD
SUMMERSVILLE WV 26651

Officer/Director/Trustee Three

MEGAN HANSHAW
SECRETARY
2179 GROVES FORD RD
SUMMERSVILLE WV 26651

Officer/Director/Trustee Four

DANNY CRISLIP
TREASURER
205 RIDGE LANE RD
CANVAS WV 26662

Officer/Director/Trustee Five

HEATHER GRAGG
SAFETY OFFICER
PO BOX 447
MT NEBO WV 26679

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 11/10/2015
Organization Incorporation State WV
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code O20 - Youth Centers, Clubs, Multipurpose
Organization’s purpose Charitable: Yes
Religious: No
Educational: No
Scientific: No
Literary: No
Public Safety: No
Amateur Sports: No
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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