FORM 1023-EZ for OSSEO WRESTING BOOSTER CLUB

Field Data
EIN 80-0844284
Case Number EO-2016287-000230
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name OSSEO WRESTING BOOSTER CLUB
Organization’s Mailing Address 10691 100TH AVE N
City MAPLE GROVE
State MN
ZIP 55369-3423
Accounting period End 6
Primary contact name JOHN CARLINE
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

JOHN CARLINE
TREASURER
10691 100TH AVE N
MAPLE GROVE MN 55369-3423

Officer/Director/Trustee Two

CHAD LANNERS
PRESIDENT
11582 65TH AVE N
MAPLE GROVE MN 55369

Officer/Director/Trustee Three

CHRIS LEWISON
SECRETARY
6636 JONQUIL COURT
MAPLE GROVE MN 55369

Organization’s website WWW.OSSEOWRESTLING.COM
Organization’s email
Organization Incorporated No
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 12/7/2012
Organization Incorporation State MN
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
Signature Title
Signature Date

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