FORM 1023-EZ for WESTERN DUBUQUE WRESTLING CLUB

Field Data
EIN 83-3851484
Case Number EO-2019129-000374
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name WESTERN DUBUQUE WRESTLING CLUB
Organization’s Mailing Address 302 5TH AVENUE SW
City EPWORTH
State IA
ZIP 52045
Accounting period End 6
Primary contact name LAURA WALKER
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

LUKE CASEY
PRESIDENT
7842 DUTCH LANE ROAD
EPWORTH IA 52045

Officer/Director/Trustee Two

AARON BURDS
VICE PRESIDENT
17395 MEADOWLARK DRIVE
PEOSTA IA 52068

Officer/Director/Trustee Three

KATHY MASSEY
SECRETARY
408 3RD AVENUE SW
WORTHINGTON IA 52078

Officer/Director/Trustee Four

CHAD LYON
TREASURER
1700 BELTLINE ROAD
DYERSVILLE IA 52040

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 2/14/19
Organization Incorporation State IA
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code O50 - Youth Development Programs, Other
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 LUKE CASEY
Signature Title PRESIDENT
Signature Date 5/7/19

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