FORM 1023-EZ for FALCONS WRESTLING

Field Data
EIN 81-4961312
Case Number EO-2017100-000400
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name FALCONS WRESTLING
Organization’s Mailing Address 3444 NORTH COVERED WAGON DRIVE
City ENOCH
State UT
ZIP 84721
Accounting period End 12
Primary contact name ADAM LAKE
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

ADAM LAKE
DIRECTOR
3444 NORTH COVERED WAGON DRIVE
ENOCH UT 84721

Officer/Director/Trustee Two

GENEVIEVE LAKE
TRUSTEE
3444 NORTH COVERED WAGON DRIVE
ENOCH UT 84721

Officer/Director/Trustee Three

NATHAN NICOLL
TRUSTEE
2246 WEST 2400 NORTH
CEDAR CITY UT 84721

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 1/12/2017
Organization Incorporation State UT
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: 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 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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