FORM 1023-EZ for PANTHER WRESTLING CLUB

Field Data
EIN 47-5494171
Case Number EO-2016221-000374
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name PANTHER WRESTLING CLUB
Organization’s Mailing Address 1529 MEADOW LN
City BURLINGAME
State CA
ZIP 94010
Accounting period End 12
Primary contact name ERIC BOTELHO
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

ERIC BOTELHO
PRESIDENT
1529 MEADOW LN
BURLINGAME CA 94010

Officer/Director/Trustee Two

KASEY BOTELHO
VICE PRESIDENT
1529 MEADOW LN
BURLINGAME CA 94010

Officer/Director/Trustee Three

ANGELO BOTELHO
TREASURER
150 ORIOLE
NOVATO CA 94949

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 10/21/2015
Organization Incorporation State CA
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code N99 - Recreation, Sports, Leisure, Athletics N.E.C.
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 Yes
Donation of funds Yes
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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