FORM 1023-EZ for NORTHEAST IOWA WRESTLING CLUB

Field Data
EIN 84-2812267
Case Number EO-2019301-000200
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name NORTHEAST IOWA WRESTLING CLUB
Organization’s Mailing Address 1312 COLLEGE DRIVE
City DECORAH
State IA
ZIP 52101
Accounting period End 3
Primary contact name SARA LARSON
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

PAT OSHEA
PRESIDENT
1679 SAWGRASS ROAD
DECORAH IA 52101

Officer/Director/Trustee Two

SARA LARSON
TREASURER
2626 235TH AVENUE
DECORAH IA 52101

Officer/Director/Trustee Three

LEE FULLHART
CHAIR/HEAD COACH
1312 COLLEGE DRIVE
DECORAH IA 52101

Officer/Director/Trustee Four

DOREEN FULLHART
SECRETARY
1312 COLLEGE DRIVE
DECORAH IA 52101

Officer/Director/Trustee Five

LES LICKISS
VICE PRESIDENT
305 PARK PLACE COURT SW
WAUKON IA 52172

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 7/26/19
Organization Incorporation State IA
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: 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 SARA LARSON
Signature Title TREASURER
Signature Date 10/18/19

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