FORM 1023-EZ for SPRINGFIELD LOCAL WRESTLING CLUB

Field Data
EIN 81-1263336
Case Number EO-2016053-000122
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name SPRINGFIELD LOCAL WRESTLING CLUB
Organization’s Mailing Address 9822 STRUTHERS RD
City NEW MIDDLETOW
State OH
ZIP 44442
Accounting period End 12
Primary contact name DANIEL QUADE
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

DANIEL QUADE
PRESIDENT
9822 STRUTHERS RD
NEW MIDDLETOWN OH 44442

Officer/Director/Trustee Two

JESSIE JEFFRIES
VICE PRESIDENT
13731 YOUNGSTOWN PITTSBURGH RD
PETERSBURG OH 44454

Officer/Director/Trustee Three

ANGELA SERVEDIO
SECRETARY
10541 STRUTHERS RD
NEW MIDDLETOWN OH 44442

Officer/Director/Trustee Four

SUE BUTLER
TREASURER
10520 CARRIE DR
NEW MIDDLETOWN OH 44442

Officer/Director/Trustee Five

MATT PONTUTI
HEAD COACH
5182 SAMPSON DR
YOUNGSTOWN OH 44512

Organization’s website
Organization’s email
Organization Incorporated No
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 2/4/2016
Organization Incorporation State OH
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 No
Correctness Declaration Yes
Signature Name
Signature Title
Signature Date

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