FORM 1023-EZ for PAYSON WRESTLERS BOOSTER CLUB

Field Data
EIN 45-1613838
Case Number EO-2017221-000219
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name PAYSON WRESTLERS BOOSTER CLUB
Organization’s Mailing Address 202 W ROUNDUP RD
City PAYSON
State AZ
ZIP 85541
Accounting period End 5
Primary contact name TARA VAGALATOS
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

ROCKY BEERY
DIRECTOR STATUTORY AGENT
202 W ROUNDUP RD
PAYSON AZ 85541

Officer/Director/Trustee Two

TARA VAGALATOS
DIRECTOR PRESIDENT
378 S GRANITE RIDGE RD
PAYSON AZ 85541

Officer/Director/Trustee Three

COLLEEN JOHNSON
SECRETARY
1302 W RANDOM WAY
PAYSON AZ 85541

Organization’s website
Organization’s email PAYSONWRESTLERBOOSTERCLUB@GMAIL.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 6/8/2015
Organization Incorporation State AZ
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 No
One Third Support Gifts No
Benefit of College No
Private Foundation 508(e) Yes
Seeking Retroactive Reinstatement No
Seeking Section 7 Reinstatement No
Correctness Declaration Yes
Signature Name
Signature Title
Signature Date

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