FORM 1023-EZ for WRANGELL ROLLER DERBY

Field Data
EIN 46-1329654
Case Number EO-2014230-000058
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name WRANGELL ROLLER DERBY
Organization’s Mailing Address PO BOX 634
City WRANGELL
State AK
ZIP 99929
Accounting period End 10
Primary contact name SHAWNA BUNESS
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

KATIE ROBBINS
PRESIDENT
PO BOX 1181
WRANGELL AK 99929

Officer/Director/Trustee Two

ELIXABETH BRUMMET
VICE PRESIDENT
PO BOX 272
WRANGELL AK 99929

Officer/Director/Trustee Three

JENNIFER WIEDERSPHON
SECRETARY
PO BOX 1223
WRANGELL AK 99929

Officer/Director/Trustee Four

DEE GALLA
TREASURER
PO BOX 362
WRANGELL AK 99929

Officer/Director/Trustee Five

DOUG ROBBINS
DIRECTOR
PO BOX 1181
WRANGELL AK 99929

Organization’s website GARNETGRITBETTIES.COM
Organization’s email GARNETGRITBETTIES@GMAIL.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 2/22/2013
Organization Incorporation State AK
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: 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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