FORM 1023-EZ for REPUBLIC YOUTH WRESTLING CLUB

Field Data
EIN 61-1763163
Case Number EO-2018222-000341
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name REPUBLIC YOUTH WRESTLING CLUB
Organization’s Mailing Address 1023 W RIDGECREST AVE
City REPUBLIC
State MO
ZIP 65738
Accounting period End 12
Primary contact name TRAVIS BRATTEN
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

TRAVIS BRATTEN
CHAIRMAN OF THE BOARD
1023 W RIDGE CREST AVE
REPUBLIC MO 65738

Officer/Director/Trustee Two

JENNIFER BRATTEN
SECRETARY
1023 W RIDGE CREST AVE
REPUBLIC MO 65738

Officer/Director/Trustee Three

CLINT MUSSER
TREASURER
1462 WILLOUGHBY RD
CLEVER MO 65631

Officer/Director/Trustee Four

GRADY LIGHTFOOT
BOARD MEMBER
4563 STATE HIGHWAY AA
CRANE MO 65633

Officer/Director/Trustee Five

NATHAN LEONARD
BOARD MEMBER
1239 S SHIRLEY AVE
REPUBLIC MO 65738

Organization’s website
Organization’s email REPUBLICWRESTLINGCLUB@GMAIL.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 6/5/15
Organization Incorporation State MO
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code N68 - Winter Sports (Snow and Ice)
Organization’s purpose Charitable: Yes
Religious: No
Educational: No
Scientific: No
Literary: No
Public Safety: No
Amateur Sports: No
Cruelty Prevention: No
Qualify For Exemption No
Legislation influence No
Compensation of Officer director trustee No
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 Yes
Seeking Section 7 Reinstatement No
Correctness Declaration Yes
Signature Name TRAVIS BRATTEN
Signature Title CHAIRMAN OF THE BOARD
Signature Date 8/8/18
EIN 61-1763163
Case Number EO-2015166-000393
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name REPUBLIC YOUTH WRESTLING CLUB
Organization’s Mailing Address 552 NORTH MAIN STREET
City REPUBLIC
State MO
ZIP 65738
Accounting period End 12
Primary contact name JOSEPH LAWLER
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

JOSEPH LAWLER
PRESIDENT
214 SOUTH WHITEOAK AVE
REPUBLIC MO 65738

Officer/Director/Trustee Two

CLINT MOORE
TREASURER
552 NORTH MAIN STREET
REPUBLIC MO 65738

Officer/Director/Trustee Three

CHARLES HICKS
SECRETARY
1803 BELLE STREET
REPUBLIC MO 65738

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 6/5/2015
Organization Incorporation State MO
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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