FORM 1023-EZ for CYPRESS BAY WRESTLING BOOSTER CLUB CORP

Field Data
EIN 26-3839318
Case Number EO-2018043-000122
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name CYPRESS BAY WRESTLING BOOSTER CLUB CORP
Organization’s Mailing Address 19173 CRYSTAL STREET
City WESTON
State FL
ZIP 33332
Accounting period End 9
Primary contact name ERIC BUSENBARRICK
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

ERIC BUSENBARRICK
OFFICER
19173 CRYSTAL STREET
WESTON FL 33332

Officer/Director/Trustee Two

AMY GAMARRA
OFFICER
1000 TUPELO WAY
WESTON FL 33327-2024

Officer/Director/Trustee Three

ALBERTO GAMARRA
SECRETARY
1000 TUPELO WAY
WESTON FL 33327-2024

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 12/3/08
Organization Incorporation State FL
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code N11 - Single Organization Support
Organization’s purpose Charitable: No
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 ALBERTO GAMARRA
Signature Title SECRETARY
Signature Date 2/8/18

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