FORM 1023-EZ for STILLWATER WRESTLING CLUB

Field Data
EIN 36-4798046
Case Number EO-2014344-000408
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name STILLWATER WRESTLING CLUB
Organization’s Mailing Address PO BOX 497
City COLUMBUS
State MT
ZIP 59019
Accounting period End 12
Primary contact name MARCIE HAINES
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

CHRIS TIMBERMAN
PRESIDENT
249 JOLIET ROAD
COLUMBUS MT 59019

Officer/Director/Trustee Two

DELLA HAVERLAND
VICE-PRESIDENT
SHANE CREEK ROAD
COLUMBUS MT 59019

Officer/Director/Trustee Three

MARCIE HAINES
SECRETARY
20 FIRST AVENUE NW
REEDPOINT MT 59069

Officer/Director/Trustee Four

LAURIE MARTIN
TREASURER
15 TRUMPET WAY
COLUMBUS MT 59019

Organization’s website
Organization’s email STILLWATERWRESTLINGCLUB@GMAIL.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 10/21/2014
Organization Incorporation State MT
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: Yes
Religious: No
Educational: Yes
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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