FORM 1023-EZ for BUSHIDO WRESTLING CLUB

Field Data
EIN 46-1609225
Case Number EO-2020013-000210
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name BUSHIDO WRESTLING CLUB
Organization’s Mailing Address 3605 RICHEY ROAD
City YAKIMA
State WA
ZIP 98902
Accounting period End 12
Primary contact name BY PHAM
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

BY PHAM
PRESIDENT
3605 RICHEY ROAD
YAKIMA WA 98902

Officer/Director/Trustee Two

JUAN LOPEZ
VICE PRESIDENT
212 SOUTH 6TH AVE
YAKIMA WA 98902

Officer/Director/Trustee Three

VERA PHAM
SECRETARY
3605 RICHEY ROAD
YAKIMA WA 98902

Officer/Director/Trustee Four

SCOTT THOMPSON
COACH
212 SOUTH 6TH AVE
YAKIMA WA 98902

Officer/Director/Trustee Five

ROLANDO GARCIA
COACH
212 SOUTH 6TH AVE
YAKIMA WA 98902

Organization’s website
Organization’s email KILLERBY@U.WASHINGTON.EDU
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 12/21/2012
Organization Incorporation State WA
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code N99 - Recreation, Sports, Leisure, Athletics N.E.C.
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 Yes
Benefit of College No
Private Foundation 508(e) No
Seeking Retroactive Reinstatement No
Seeking Section 7 Reinstatement No
Correctness Declaration Yes
Signature Name BY PHAM
Signature Title PRESIDENT
Signature Date 1/9/2020

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