FORM 1023-EZ for SERVICE WRESTLING BOOSTER

Field Data
EIN 84-3651904
Case Number EO-2019318-000285
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name SERVICE WRESTLING BOOSTER
Organization’s Mailing Address 10250 BETULA DR
City ANCHORAGE
State AK
ZIP 99507
Accounting period End 12
Primary contact name RYUICHI RUDY TSUKADA
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

RYUICHI TSUKADA
PRESIDENT
10250 BETULA DR
ANCHORAGE AK 99507

Officer/Director/Trustee Two

KIMMIE GREEN
TREASURER
8054 SANDY CIRCLE
ANCHORAGE AK 99507

Officer/Director/Trustee Three

HEATHER GREEN
SECRETARY
7530 FLORENCE DR
ANCHORAGE AK 99507

Officer/Director/Trustee Four

TRISHA KNOX
VICE PRESIDENT
PO BOX 110608
ANCHORAGE AK 99511

Officer/Director/Trustee Five

KIRSTEN HOPPE
DIRECTOR
4810 ZENITH ST
ANCHORAGE AK 99507

Organization’s website
Organization’s email PRESIDENT.SVCWRESTLINGBC@GMAIL.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 11/7/19
Organization Incorporation State AK
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code B11 - Single Organization Support
Organization’s purpose Charitable: No
Religious: No
Educational: No
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 No
Benefit of College No
Private Foundation 508(e) Yes
Seeking Retroactive Reinstatement No
Seeking Section 7 Reinstatement No
Correctness Declaration Yes
Signature Name RYUICHI TSUKADA
Signature Title PRESIDENT
Signature Date 11/12/19

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