FORM 1023-EZ for SHOSHONI SHOOTERS USA WRESTLING CLUB

Field Data
EIN 82-0768165
Case Number EO-2018120-000558
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name SHOSHONI SHOOTERS USA WRESTLING CLUB
Organization’s Mailing Address 68 CLIFF DR
City RIVERTON
State WY
ZIP 82501
Accounting period End 12
Primary contact name AL CASTRO
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

AL CASTRO
PRESIDENT
68 CLIFF DR
RIVERTON WY 82501

Officer/Director/Trustee Two

ROBERT DURAN
VICE PRESIDENT
PO BOX 362
SHOSHONI WY 82649

Officer/Director/Trustee Three

JANA MEDOW-STARKS
TREASURER
35 MINTER LANE
RIVERTON WY 82501

Officer/Director/Trustee Four

JENNIFER SCHANNO
SECRETARY
PO BOX 104
SHOSHONI WY 82649

Officer/Director/Trustee Five

HEATHER CASTRO
MEMBER AT LARGE
68 CLIFF DR
RIVERTON WY 82501

Organization’s website
Organization’s email
Organization Incorporated No
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 1/1/17
Organization Incorporation State WY
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code N11 - Single Organization Support
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 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 AL CASTRO
Signature Title PRESIDENT
Signature Date 4/26/18

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