FORM 1023-EZ for JAGUAR WRESTLING CLUB

Field Data
EIN 84-2931890
Case Number EO-2019249-000156
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name JAGUAR WRESTLING CLUB
Organization’s Mailing Address 9625 QUAIL RUN
City URBANDALE
State IA
ZIP 50322
Accounting period End 12
Primary contact name JAY GROTH
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

JAY GROTH
DIRECTOR
9625 QUAIL RUN
URBANDALE IA 50322

Officer/Director/Trustee Two

MIKE FONTANA
DIRECTOR
1905 NE GRANT ST
ANKENY IA 50021

Officer/Director/Trustee Three

JUSTIN SONG
DIRECTOR
510 NW HORIZON CT
ANKENY IA 50023

Officer/Director/Trustee Four

BRAD BRUHL
DIRECTOR
802 NW 22ND ST
ANKENY IA 50023

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 8/8/19
Organization Incorporation State IA
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: Yes
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 JAY GROTH
Signature Title DIRECTOR
Signature Date 9/4/19

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