FORM 1023-EZ for UBASA WRESTLING ACADEMY INC

Field Data
EIN 32-0610930
Case Number EO-2019296-000196
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name UBASA WRESTLING ACADEMY INC
Organization’s Mailing Address 2540 106TH STREET STE 202
City URBANDALE
State IA
ZIP 50322
Accounting period End 12
Primary contact name JEFF RUBINO
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

JEFF RUBINO
PRESIDENT
3911 159TH ST
URBANDALE IA 50323

Officer/Director/Trustee Two

PHILLIP LAUX
SECRETARY
709 BOULDER AVE
DES MOINES IA 50315

Officer/Director/Trustee Three

DAVID CAHILL
TREASURER
3011 153RD AVE
URBANDALE IA 50323

Officer/Director/Trustee Four

BJ MILLER
DIRECTOR
902 78TH PLACE
WEST DES MOINES IA 50266

Officer/Director/Trustee Five

THEP PEARSON
DIRECTOR
4950 COPPER CREEK DR
PLEASANT HILL IA 50327

Organization’s website N/A
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 1/19/07
Organization Incorporation State IA
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: Yes
Religious: No
Educational: Yes
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 JEFF RUBINO
Signature Title PRESIDENT
Signature Date 10/19/19

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