FORM 1023-EZ for VALLEY FREESTYLE WRESTLING CLUB INC

Field Data
EIN 81-0746944
Case Number EO-2016032-000236
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name VALLEY FREESTYLE WRESTLING CLUB INC
Organization’s Mailing Address 514 DRAKE DRIVE
City SANTA ROSA
State CA
ZIP 95409
Accounting period End 12
Primary contact name MARSHALL E BLUESTONE
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

TIMOTHY BRUCE
PRESIDENT
514 DRAKE DRIVE
SANTA ROSA CA 95409

Officer/Director/Trustee Two

DAVID HERNANDEZ
SECRETARY
514 DRAKE DRIVE
SANTA ROSA CA 95409

Officer/Director/Trustee Three

TIMOTHY BRUCE
TREASURER
514 DRAKE DRIVE
SANTA ROSA CA 95409

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 11/19/2015
Organization Incorporation State CA
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: Yes
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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