FORM 1023-EZ for EFFINGHAM KIDS WRESTLING CLUB

Field Data
EIN 47-3954019
Case Number EO-2015131-000470
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name EFFINGHAM KIDS WRESTLING CLUB
Organization’s Mailing Address 1912 OSBORNE RD
City CUMMINGS
State KS
ZIP 66016
Accounting period End 12
Primary contact name GREG SMITH
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

GREG SMITH
PRESIDENT
1912 OSBORNE RD
CUMMINGS KS 66016

Officer/Director/Trustee Two

KRISTIE SCHOLZ
DIRECTOR
1337 GREELEY RD
NORTONVILLE KS 66060

Officer/Director/Trustee Three

BRIAN BRULL
VICE PRESIDENT
201 GEORGE ST
EFFINGHAM KS 66023

Officer/Director/Trustee Four

CHRISTY BRULL
TREASURER
201 GEORGE ST
EFFINGHAM KS 66023

Organization’s website
Organization’s email
Organization Incorporated No
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 3/18/2015
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: 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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