FORM 1023-EZ for KELLER WRESTLING INITIATIVE

Field Data
EIN 82-1983491
Case Number EO-2017215-000078
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name KELLER WRESTLING INITIATIVE
Organization’s Mailing Address 801 TALBOT ST
City KELLER
State TX
ZIP 76248-8713
Accounting period End 6
Primary contact name MICHAEL DECKER
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

MICHAEL DECKER
CHAIRPERSON
801 TALBOT ST
KELLER TX 76248-8713

Officer/Director/Trustee Two

STEPHANIE CANFIELD
SECRETARY
902 SHORELINE CT
KELLER TX 87248-8486

Officer/Director/Trustee Three

STEPHANIE ISMAILI
DIRECTOR
602 SANTA BARBARA DR
KELLER TX 76248-4105

Organization’s website
Organization’s email KELLERWESTLINGINITIATIVE@GMAIL.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 6/19/2017
Organization Incorporation State TX
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code V01 - Alliance/Advocacy Organizations
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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