FORM 1023-EZ for PALMYRA YOUTH WRESTLING CLUB

Field Data
EIN 83-2089498
Case Number EO-2018277-000207
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name PALMYRA YOUTH WRESTLING CLUB
Organization’s Mailing Address 810 HOUSTON DR
City PALMYRA
State MO
ZIP 63461
Accounting period End 12
Primary contact name KOLBY RIFE
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

EMILY KROEGER
PRESIDENT
410 EAST WATER
PALMYRA MO 63461

Officer/Director/Trustee Two

BRIAN STEVENS
VICE PRESIDENT
5675 HIGHWAY F
PALMYRA MO 63461

Officer/Director/Trustee Three

BRANDY PETERS
SECRETARY
3815 HIGHWAY OO
PALMYRA MO 63461

Officer/Director/Trustee Four

KOLBY RIFE
TREASURER
810 HOUSTON DRIVE
PALMYRA MO 63461

Organization’s website HTTPS://WWW.FACEBOOK.COM/GROUPS/210440312721503/
Organization’s email KRIFE678@YAHOO.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 10/2/18
Organization Incorporation State MO
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code N50 - Recreational, Pleasure, or Social Club
Organization’s purpose Charitable: Yes
Religious: No
Educational: No
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 KOLBY RIFE
Signature Title TREASURER
Signature Date 10/2/18

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