FORM 1023-EZ for FALCON WRESTLING CLUB INC

Field Data
EIN 83-3996042
Case Number EO-2020038-000203
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name FALCON WRESTLING CLUB INC
Organization’s Mailing Address 3578 CANARY LANE
City KINGMAN
State AZ
ZIP 86409
Accounting period End 12
Primary contact name JERRY SIDES
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

JERRY SIDES
DIRECTOR
5373 US HWY 68 D-700
KINGMAN AZ 86409

Officer/Director/Trustee Two

TERRI NAYLOR
DIRECTOR
3219 N YAVAPAI STREET
KINGMAN AZ 86401

Officer/Director/Trustee Three

DANIEL OHARA
DIRECTOR
3002 VAN MARTER CT
KINGMAN AZ 86401

Officer/Director/Trustee Four

KAHLEEN WISE
DIRECTOR
7102 ALVARADO DR
KINGMAN AZ 86401

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 3/29/2019
Organization Incorporation State AZ
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: No
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 No
Benefit of College No
Private Foundation 508(e) Yes
Seeking Retroactive Reinstatement No
Seeking Section 7 Reinstatement No
Correctness Declaration Yes
Signature Name JERRY SIDES
Signature Title DIRECTOR
Signature Date 2/5/2020

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