FORM 1023-EZ for HENRY SIBLEY WRESTLING CLUB

Field Data
EIN 43-3751213
Case Number EO-2017235-000267
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name HENRY SIBLEY WRESTLING CLUB
Organization’s Mailing Address 3325 WREN LANE
City EAGAN
State MN
ZIP 55121
Accounting period End 12
Primary contact name BILLIE LEWIS
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

BILLIE LEWIS
TREASURER
3325 WREN LANE
EAGAN MN 55121

Officer/Director/Trustee Two

KIRK RALL
PRESIDENT
1172 OTTAWA AVE
WEST ST PAUL MN 55118

Organization’s website
Organization’s email
Organization Incorporated No
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 4/21/2003
Organization Incorporation State MN
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code N12 - Fund Raising and/or Fund Distribution
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

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