FORM 1023-EZ for LIBERAL AMATEUR WRESTLING CLUB

Field Data
EIN 48-0860414
Case Number EO-2015168-000091
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name LIBERAL AMATEUR WRESTLING CLUB
Organization’s Mailing Address PO BOX 1680
City LIBERAL
State KS
ZIP 67905
Accounting period End 12
Primary contact name BRIAN MANNEL
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

ALFREDO JUAREZ
PRESIDENT
509 N WESTERN AVE
LIBERAL KS 67901

Officer/Director/Trustee Two

IVAN ANDRADE
VICE PRESIDENT
606 S VIRGINIA
LIBERAL KS 67901

Officer/Director/Trustee Three

MANDY RICE
TREASURER
448 DRIFTWOOD LANE
LIBERAL KS 67901

Officer/Director/Trustee Four

BRIAN MANNEL
SECRETARY
230 CANNA LANE
LIBERAL KS 67901

Officer/Director/Trustee Five

SHELDON PIPKEN
BOARD MEMBER
340 MCCRAY
LIBERAL KS 67901

Organization’s website
Organization’s email LIBERALWRESTLINGCLUB@YAHOO.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 9/19/1977
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: 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 Yes
Correctness Declaration Yes
Signature Name
Signature Title
Signature Date

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