FORM 1023-EZ for CARPE DIEM WRESTLING CLUB OF KANSAS

Field Data
EIN 81-3882050
Case Number EO-2016278-000026
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name CARPE DIEM WRESTLING CLUB OF KANSAS
Organization’s Mailing Address 1311 N 1ST ST E
City LOUISBURG
State KS
ZIP 66053
Accounting period End 12
Primary contact name ROBERT BOVAIRD
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

ROBERT BOVAIRD
PRESIDENT
1311 N 1ST ST EAST
LOUISBURG KS 66053

Officer/Director/Trustee Two

BRUCE CALDWELL
TREASURER
5275 W 271ST ST
LOUISBURG KS 66053

Officer/Director/Trustee Three

CRAIG HOLTZEN
VICE PRESIDENT
27325 HIGHLAND DR
LOUISBURG KS 66053

Officer/Director/Trustee Four

EMILY BOVAIRD
SECRETARY
1311 N 1ST ST EAST
LOUISBURG KS 66053

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 9/18/2016
Organization Incorporation State KS
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code N99 - Recreation, Sports, Leisure, Athletics N.E.C.
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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