FORM 1023-EZ for BAKER WRESTLING CLUB

Field Data
EIN 47-3978956
Case Number EO-2021176-000194
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name BAKER WRESTLING CLUB
Organization’s Mailing Address PO BOX 1278
City BAKER
State MT
ZIP 59313
Accounting period End 12
Primary contact name RACHEL BROCKEL
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

DEREK GORDER
PRESIDENT
PO BOX 1278
BAKER MT 59313

Officer/Director/Trustee Two

POLLY DAVIS
SECRETARY
PO BOX 1278
BAKER MT 59313

Officer/Director/Trustee Three

DONNA GORDER
MEMBER
PO BOX 1278
BAKER MT 59313

Officer/Director/Trustee Four

CHAD VARNER
MEMBER
PO BOX 1278
BAKER MT 59313

Officer/Director/Trustee Five

GREG CARON
MEMBER
PO BOX 1278
BAKER MT 59313

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 5/29/2015
Organization Incorporation State MT
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code O20 - Youth Centers, Clubs, Multipurpose
Organization’s purpose Charitable: No
Religious: No
Educational: Yes
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 Yes
Conducting Activities Outside of United States No
Financial transactions with officers No
Unrelated Gross Income $1,000 or More No
Gaming Activity Yes
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 Yes
Correctness Declaration Yes
Signature Name POLLY DAVIS
Signature Title SECRETARY
Signature Date 6/23/2021

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