FORM 1023-EZ for CLIPPER WRESTLING CLUB

Field Data
EIN 45-3075816
Case Number EO-2017317-000297
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name CLIPPER WRESTLING CLUB
Organization’s Mailing Address PO BOX 511
City TIFFIN
State IA
ZIP 52340
Accounting period End 12
Primary contact name JAMES SCRANTON
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

KYLE FORNESS
DIRECTOR
1715 STONE CREEK CIRCLE
NORTH LIBERTY IA 52317

Officer/Director/Trustee Two

JAMES SCRANTON
DIRECTOR
316 LINDEN
TIFFIN IA 52340

Officer/Director/Trustee Three

JESSIE WHITMER
DIRECTOR
885 JESSIE ST
NORTH LIBERTY IA 52317

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 9/14/2011
Organization Incorporation State IA
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code O50 - Youth Development Programs, Other
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 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
EIN 45-3075816
Case Number EO-2014293-000148
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name CLIPPER WRESTLING CLUB
Organization’s Mailing Address P O BOX 511
City TIFFIN
State IA
ZIP 52340
Accounting period End 12
Primary contact name LINDSEY NASH
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

BILL NASH
PRESIDENT
P O BOX 511
TIFFIN IA 52340-0511

Officer/Director/Trustee Two

JAMES SCRANTON
VICE PRESIDENT
P O BOX 511
TIFFIN IA 52340-0511

Officer/Director/Trustee Three

CHRIS CARLSON
TREASURER
P O BOX 511
TIFFIN IA 52340-0511

Officer/Director/Trustee Four

LINDSEY NASH
SECRETARY
P O BOX 511
TIFFIN IA 52340-0511

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 9/14/2011
Organization Incorporation State IA
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code O20 - Youth Centers, Clubs, Multipurpose
Organization’s purpose Charitable: No
Religious: No
Educational: Yes
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 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 Yes
Seeking Section 7 Reinstatement No
Correctness Declaration Yes
Signature Name
Signature Title
Signature Date

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