FORM 1023-EZ for CROSSFACE WRESTLING CLUB

Field Data
EIN 82-4456686
Case Number EO-2020059-000136
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name CROSSFACE WRESTLING CLUB
Organization’s Mailing Address 22584 HIGHWAY 30
City KIMBERLY
State ID
ZIP 83341-5204
Accounting period End 5
Primary contact name CLINTON KELLER
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

CLINTON KELLER
PRESIDENT
22584 HIGHWAY 30
KIMBERLY ID 83341-5204

Officer/Director/Trustee Two

SHANE CLABORN
VICE PRESIDENT/SECRETARY
1229 QUAIL STREET
TWIN FALLS ID 83301-5667

Officer/Director/Trustee Three

RYAN SAWERS
VICE PRESIDENT/TREASURER
320 CHERRYWOOD ROAD
TWIN FALLS ID 83301-5120

Officer/Director/Trustee Four

LUIS MARTINEZ
MEMBER-AT-LARGE
758 PARKWOOD DRIVE
TWIN FALLS ID 83301-4982

Organization’s website
Organization’s email
Organization Incorporated No
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 2/16/2018
Organization Incorporation State ID
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: Yes
Religious: No
Educational: No
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 CLINTON KELLER
Signature Title PRESIDENT
Signature Date 2/26/2020

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