FORM 1023-EZ for LEBANON TIGER WRESTLING CLUB INC

Field Data
EIN 81-4414080
Case Number EO-2017075-000538
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name LEBANON TIGER WRESTLING CLUB INC
Organization’s Mailing Address 319 WESTMOOR DR
City LEBANON
State IN
ZIP 46052
Accounting period End 8
Primary contact name WHITNEY KING
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

DAVID COFFMAN
PRESIDENT
319 WESTMOOR DR
LEBANON IN 46052

Officer/Director/Trustee Two

WHITNEY KING
TREASURER
5780 BLUFF VIEW LANE
WHITESTOWN IN 46075

Officer/Director/Trustee Three

HOLLY COFFMAN
SECRETARY
319 WESTMOOR DR
LEBANON IN 46052

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 11/14/2016
Organization Incorporation State IN
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code N60 - Amateur Sports Clubs, Leagues, 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 Yes
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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