FORM 1023-EZ for BRUSH WRESTLING CLUB INC

Field Data
EIN 47-4450623
Case Number EO-2015338-000292
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name BRUSH WRESTLING CLUB INC
Organization’s Mailing Address 19431 COUNTY RD 25
City BRUSH
State CO
ZIP 80723
Accounting period End 12
Primary contact name RYAN TUCK
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

DAVID UHRIG
PRESIDENT
19431 COUNTY RD 25
BRUSH CO 80723

Officer/Director/Trustee Two

CRYSTAL LUDGATE
VICE PRESIDENT
31437 COUNTY RD K
BRUSH CO 80723

Officer/Director/Trustee Three

JUSTIN CURTIS
TREASURER
11626 HIGHWAY 71
BRUSH CO 80723

Officer/Director/Trustee Four

CHARLENE CARRERA
SECRETARY
313 CARLSBAD DRIVE
BRUSH CO 80723

Officer/Director/Trustee Five

RYAN TUCK
MEMBER
23028 COUNTY RD 33
HILLROSE CO 80733

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 7/1/2015
Organization Incorporation State CO
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: No
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 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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