FORM 1023-EZ for STAPLES WRESTLING CLUB INCORPORATED

Field Data
EIN 38-3921097
Case Number EO-2015006-000241
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name STAPLES WRESTLING CLUB INCORPORATED
Organization’s Mailing Address 41298 COUNTY 7
City BROWERVILLE
State MN
ZIP 56438
Accounting period End 9
Primary contact name JONATHAN TABATT
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

CORY LAWRENCE
PRESIDENT
306 DAKOTA AVENUE SE
STAPLES MN 56479

Officer/Director/Trustee Two

KENNETH CHRISTENSEN
VICE PRESIDENT
886 2ND STREET SE
STAPLES MN 56479

Officer/Director/Trustee Three

BRIDGET GERARD
SECRETARY
237 PARK ROAD
STAPLES MN 56479

Officer/Director/Trustee Four

JONATHAN TABATT
TREASURER
41298 COUNTY 7
BROWERVILLE MN 56438

Officer/Director/Trustee Five

DERROLD WINTER
OFFICER
45311 RED OAK ROAD
STAPLES MN 56479

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 5/16/1983
Organization Incorporation State MN
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code N68 - Winter Sports (Snow and Ice)
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 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 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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