FORM 1023-EZ for CLARK COUNTY YOUTH WRESTLING

Field Data
EIN 84-3512108
Case Number EO-2020184-000470
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name CLARK COUNTY YOUTH WRESTLING
Organization’s Mailing Address 1104 NW 103RD ST
City VANCOUVER
State WA
ZIP 98685-5152
Accounting period End 12
Primary contact name TRAVIS M CHIPMAN
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

TRAVIS M CHIPMAN
SECRETARY
1104 NW 103RD ST
VANCOUVER WA 98685-5152

Officer/Director/Trustee Two

JOEL DENMAN
VICE PRESIDENT
9408 NE 81ST AVE
VANCOUVER WA 98662-1808

Officer/Director/Trustee Three

JAMES BUEL
PRESIDENT
PO BOX 87447
VANCOUVER WA 98687-7447

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 11/1/2019
Organization Incorporation State WA
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code B80 - Student Services, Organizations of Students
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 No
Seeking Section 7 Reinstatement No
Correctness Declaration Yes
Signature Name TRAVIS M CHIPMAN
Signature Title SECRETARY
Signature Date 6/30/2020

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