FORM 1023-EZ for SULLIVAN COUNTY WRESTLING CLUB INC

Field Data
EIN 47-1960529
Case Number EO-2015155-000257
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name SULLIVAN COUNTY WRESTLING CLUB INC
Organization’s Mailing Address 26572 HIGHWAY 5
City MILAN
State MO
ZIP 63556
Accounting period End 12
Primary contact name BRIAN WHITE
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

BRIAN WHITE
PRESIDENT
26572 HIGHWAY 5
MILAN MO 63556

Officer/Director/Trustee Two

REBECCA BENNETT
VICE PRESIDENT
233 WEST FIRST STREET
MILAN MO 63556

Officer/Director/Trustee Three

LUCRETIA KELLER
SECRETARY
52495 INFIRMARY ROAD
MILAN MO 63556

Officer/Director/Trustee Four

BROK JACKSON
TREASURER
101 HAWTHORNE DRIVE PO BOX 129
MILAN MO 63556

Organization’s website
Organization’s email TRACEYM1977@MSN.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 9/25/2014
Organization Incorporation State MO
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code N99 - Recreation, Sports, Leisure, Athletics N.E.C.
Organization’s purpose Charitable: No
Religious: No
Educational: Yes
Scientific: No
Literary: No
Public Safety: No
Amateur Sports: No
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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