FORM 1023-EZ for SOLID ROCK WRESTLING CLUB INC

Field Data
EIN 84-2905858
Case Number EO-2019259-000259
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name SOLID ROCK WRESTLING CLUB INC
Organization’s Mailing Address 2421 CENTERGATE DR UNIT 202
City HOLLYWOOD
State FL
ZIP 33025
Accounting period End 12
Primary contact name HENRY JACKSON
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

HENRY JACKSON
PRESIDENT, TREASURER, DIRECTOR
2421 CENTERGATE DR UNIT 202
HOLLYWOOD FL 33025

Officer/Director/Trustee Two

JEANETTE JACKSON
SECRETARY, DIRECTOR
2421 CENTERGATE DR UNIT 202
HOLLYWOOD FL 33025

Officer/Director/Trustee Three

BRIAN SHAFER
DIRECTOR
12291 NW 20TH CT
PLANTATION FL 33323

Organization’s website N/A
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 8/19/19
Organization Incorporation State FL
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code O50 - Youth Development Programs, Other
Organization’s purpose Charitable: Yes
Religious: No
Educational: Yes
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 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 HENRY JACKSON
Signature Title PRESIDENT, TREASURER, DIRECTOR
Signature Date 9/10/19

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