FORM 1023-EZ for LEO WRESTLING CLUB INC

Field Data
EIN 81-2987155
Case Number EO-2016252-000218
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name LEO WRESTLING CLUB INC
Organization’s Mailing Address 17433 DEVALL RD
City SPENCERVILLE
State IN
ZIP 46788
Accounting period End 12
Primary contact name CHAD LOTHAMER
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

CHAD LOTHAMER
PRESIDENT
17433 DEVALL RD
SPENCERVILLE IN 46788

Officer/Director/Trustee Two

SHANE HEATH
VICE PRESIDENT
17726 LOCHNER RD
SPENCERVILLE IN 46788

Officer/Director/Trustee Three

NATHAN JACKSON
SECRETARY
10134 STUCKEY LN
LEO IN 46795

Officer/Director/Trustee Four

MATT MORIN
TREASURER
14706 GREYSTONE CT
LEO IN 46765

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 6/20/2016
Organization Incorporation State IN
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code O50 - Youth Development Programs, Other
Organization’s purpose Charitable: Yes
Religious: Yes
Educational: Yes
Scientific: Yes
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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