FORM 1023-EZ for MATHEWS YOUTH WRESTLING CLUB

Field Data
EIN 45-4344235
Case Number EO-2016053-000087
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name MATHEWS YOUTH WRESTLING CLUB
Organization’s Mailing Address 636 BUCKEY HALL ROAD
City DUTTON
State VA
ZIP 23050
Accounting period End 12
Primary contact name BETH DAVIS
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

VANESSA DUSTIN
PRESIDENT
8036 BUCKLEY HALL ROAD
HUDGINS VA 23035

Officer/Director/Trustee Two

BETH DAVIS
TREASURER
636 BUCKLEY HALL ROAD
DUTTON VA 23050

Officer/Director/Trustee Three

KATHY JAMES
EQUIPMENT MANAGER
65 AROUND THE FENCE ROAD
COBBS CREEK VA 23035

Officer/Director/Trustee Four

JOSH SCHAIBLE
HEAD COACH
344 SKIPJACK LANE
COBBS CREEK VA 23035

Organization’s website
Organization’s email
Organization Incorporated No
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 1/24/2012
Organization Incorporation State VA
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code N70 - Amateur Sports Competitions
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 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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