FORM 1023-EZ for KEYSER GRAPPLERS ASSOCIATION

Field Data
EIN 47-2701659
Case Number EO-2015162-000298
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name KEYSER GRAPPLERS ASSOCIATION
Organization’s Mailing Address 1380 LUDWICK STREET
City KEYSER
State WV
ZIP 26726
Accounting period End 12
Primary contact name JANA WILT
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

JANA WILT
CO-PRESIDENT
1380 LUDWICK ST
KEYSER WV 26726

Officer/Director/Trustee Two

LAURA HOLLAND
CO-PRESIDENT
RT 1 BOX 226
KEYSER WV 26726

Officer/Director/Trustee Three

AMBER ROTRUCK
TREASURER
RT 1 BOX 128 C
KEYSER WV 26726

Officer/Director/Trustee Four

APRIL HOUSE
CO-VICE PRESIDENT
130 CENTER STREET
KEYSER WV 26726

Officer/Director/Trustee Five



1380 ludwick Street

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 3/16/2015
Organization Incorporation State WV
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: 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 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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