FORM 1023-EZ for BLAZERS WRESTLING CLUB

Field Data
EIN 81-4074738
Case Number EO-2017073-000136
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name BLAZERS WRESTLING CLUB
Organization’s Mailing Address PO BOX 8541
City GRAY
State TN
ZIP 37615-8541
Accounting period End 9
Primary contact name BETHANY ALLEY
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

REID RATLIF
PRESIDENT
1383 HAMMOND RD
JONESBOROUGH TN 37659

Officer/Director/Trustee Two

STAN KINNETT
VICE PRESIDENT
754 HAIRETOWNE RD
JONESBOROUGH TN 37659-4612

Officer/Director/Trustee Three

BETHANY ALLEY
SECRETARY/TREASURER
127 HICKS ACRES DR
GRAY TN 37615-4129

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 10/3/2016
Organization Incorporation State TN
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: 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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