FORM 1023-EZ for GLADWIN WRESTLING CLUB

Field Data
EIN 47-2872138
Case Number EO-2015058-000268
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name GLADWIN WRESTLING CLUB
Organization’s Mailing Address 753 STICKEL RD
City GLADWIN
State MI
ZIP 48624
Accounting period End 12
Primary contact name KRISTEN OR CASEY
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

CASEY ROSS
OFFICER
3687 N LAKESHORE DR
GLADWIN MI 48624

Officer/Director/Trustee Two

KRISTEN WILLERT
OFFICER
753 STICKEL RD
GLADWIN MI 48624

Officer/Director/Trustee Three

SCOTT FURGESON
OFFICER
2900 W YOUNGS RD
GLADWIN MI 48624

Officer/Director/Trustee Four

JAMES BAILEY
OFFICER
5977 BUTMAN RD
GLADWIN MI 48624

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 1/21/2015
Organization Incorporation State MI
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: 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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