FORM 1023-EZ for RIVERSIDE LOCAL WRESTLING CLUB

Field Data
EIN 46-1278774
Case Number EO-2016032-000154
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name RIVERSIDE LOCAL WRESTLING CLUB
Organization’s Mailing Address 6688 AUBURN RD
City PAINESVILLE
State OH
ZIP 44077
Accounting period End 12
Primary contact name MICHAEL RICHNER
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

MICHAEL RICHNER
PRESIDENT
6688 AUBURN RD
CONCORD TWP OH 44077

Officer/Director/Trustee Two

KARL DICKINSON
TREASURER
1358 CEDAR CREEK CT
PAINESVILLE OH 44077

Officer/Director/Trustee Three

MONIQUE FARENCHAK
SECETARY
13850 AUTUMN DR
CHARDON OH 44024

Officer/Director/Trustee Four

RICH VANPELT
VISE PRESIDENT
13300 LEROY CENTER
PAINESVILLE OH 44077

Organization’s website
Organization’s email
Organization Incorporated No
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 10/29/2012
Organization Incorporation State OH
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code O20 - Youth Centers, Clubs, Multipurpose
Organization’s purpose Charitable: Yes
Religious: No
Educational: Yes
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
Signature Title
Signature Date

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