FORM 1023-EZ for MILL VALLEY KIDS WRESTLING CLUB

Field Data
EIN 81-4228481
Case Number EO-2016302-000291
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name MILL VALLEY KIDS WRESTLING CLUB
Organization’s Mailing Address 21024 WEST 81ST PLACE
City LENEXA
State KS
ZIP 66220
Accounting period End 12
Primary contact name JEFFREY L MASON
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

CLINT MCALISTER
PRESIDENT AND DIRECTOR
6324 THEDEN
SHAWNEE KS 66218

Officer/Director/Trustee Two

BRETT DELICH
VICE PRESIDENT AND DIRECTOR
15518 PIN OAK DRIVE
BASEHOR KS 66007

Officer/Director/Trustee Three

JASON SCHWEGMAN
SECRETARY AND DIRECTOR
5427 DRIFTWOOD
SHAWNEE KS 66220

Officer/Director/Trustee Four

JEFFREY MASON
TREASURER AND DIRECTOR
21024 WEST 81ST PLACE
LENEXA KS 66220

Organization’s website WWW.MVKWC.COM
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 10/25/2016
Organization Incorporation State KS
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 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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