FORM 1023-EZ for ST FRANCIS WRESTLING CLUB

Field Data
EIN 33-1101688
Case Number EO-2015002-000228
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name ST FRANCIS WRESTLING CLUB
Organization’s Mailing Address 2645 ROAD 19
City SAINT FRANCIS
State KS
ZIP 67756-5631
Accounting period End 12
Primary contact name SHAWNA BLANKA
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

JUSTIN SHERLOCK
PRESIDENT
PO BOX 233
SAINT FRANCIS KS 67756-0233

Officer/Director/Trustee Two

SHAWNA BLANKA
SECRETARY/TREASURER
2645 ROAD 19
SAINT FRANCIS KS 67756-5631

Officer/Director/Trustee Three

DYLAN LOYD
VICE PRESIDENT
2140 ROAD I
SAINT FRANCIS KS 67756-5739

Organization’s website
Organization’s email
Organization Incorporated No
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 10/8/2004
Organization Incorporation State KS
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: Yes
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 Yes
Correctness Declaration Yes
Signature Name
Signature Title
Signature Date

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