FORM 1023-EZ for MAT PACK WRESTLING CLUB - STAUNTON

Field Data
EIN 47-3363774
Case Number EO-2017004-000141
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name MAT PACK WRESTLING CLUB - STAUNTON
Organization’s Mailing Address 70 APPALACHIAN RISE
City LEXINGTON
State VA
ZIP 24450
Accounting period End 12
Primary contact name BRIAN CREWS
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

BRIAN CREWS
PRESIDENT
70 APPALACHIAN RISE
LEXINGTON VA 24450

Officer/Director/Trustee Two

ANDREW IVERS
VICE PRESIDENT
70 APPALACHIAN RISE
LEXINGTON VA 24450

Officer/Director/Trustee Three

TODD ROBSON
SECRETARY
70 APPALACHIAN RISE
LEXINGTON VA 24450

Officer/Director/Trustee Four

CHARLIE HATCHER
TREASURER
70 APPALACHIAN RISE
LEXINGTON VA 24450

Officer/Director/Trustee Five

JESSE WEST
DIR OF OPERATIONS
70 APPALACHIAN RISE
LEXINGTON VA 24450

Organization’s website N/A
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 4/9/2015
Organization Incorporation State VA
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code N50 - Recreational, Pleasure, or Social Club
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 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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