FORM 1023-EZ for CONCORDIA WRESTLING CLUB INC

Field Data
EIN 81-1826617
Case Number EO-2016104-000069
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name CONCORDIA WRESTLING CLUB INC
Organization’s Mailing Address 15510 KING CIR
City BENNINGTON
State NE
ZIP 68007
Accounting period End 5
Primary contact name MARK BLASCHKO
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

PAT WILSON
BOARD MEMBER
1605 N 162ND ST
OMAHA NE 68118

Officer/Director/Trustee Two

JOHN WOODWARD
BOARD MEMBER
424 RIVERSIDE DR
WATERLOO NE 68069

Officer/Director/Trustee Three

MARK BLASCHKO
PRESIDENT/BOARD MEMBER
15510 KING CIR
BENNINGTON NE 68007

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 3/18/2016
Organization Incorporation State NE
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code B99 - Education N.E.C.
Organization’s purpose Charitable: No
Religious: No
Educational: Yes
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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