FORM 1023-EZ for SOUTH WRESTLING BOOSTER CLUB

Field Data
EIN 47-2370934
Case Number EO-2015002-000193
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name SOUTH WRESTLING BOOSTER CLUB
Organization’s Mailing Address 2920 WESTWIND CT
City ANCHORAGE
State AK
ZIP 99516
Accounting period End 6
Primary contact name ROBERT OTTUM
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

ROBERT OTTUM
PRESIDENT
2920 WESTWIND CT
ANCHORAGE AK 99516

Officer/Director/Trustee Two

KRISTI MERCER
VICE PRESIDENT
5115 METZ CT
ANCHORAGE AK 99516

Officer/Director/Trustee Three

MARIAN STREET
SECRETARY
1742 BELLEVUE LP
ANCHORAGE AK 99515

Officer/Director/Trustee Four

HEIDI BROWN
TREASURER
820 BOTANICAL HEIGHTS CR
ANCHORAGE AK 99515

Officer/Director/Trustee Five

JEFFREY MARTIN
PARENT/OTHER REPRESENTATIVE
4701 POTTER CREST CR
ANCHORAGE AK 99516

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 7/1/2014
Organization Incorporation State AK
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 Yes
One Third Support Gifts No
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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