FORM 1023-EZ for WARRIOR WRESTLING CLUB

Field Data
EIN 84-2964207
Case Number EO-2019259-000685
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name WARRIOR WRESTLING CLUB
Organization’s Mailing Address 6000 S GALWAY AVENUE
City SIOUX FALLS
State SD
ZIP 57106
Accounting period End 12
Primary contact name THOMAS JOHNSON
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

ANNA EIDEM
DIRECTOR
2409 S MARIANA COURT
SIOUX FALLS SD 57103

Officer/Director/Trustee Two

RYAN EIDEM
DIRECTOR
2409 S MARIANA COURT
SIOUX FALLS SD 57103

Officer/Director/Trustee Three

LANCE PETERS
DIRECTOR
6000 S GALWAY AVENUE
SIOUX FALLS SD 57106

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 9/3/19
Organization Incorporation State SD
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: 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 Yes
One Third Support Gifts No
Benefit of College No
Private Foundation 508(e) No
Seeking Retroactive Reinstatement No
Seeking Section 7 Reinstatement No
Correctness Declaration Yes
Signature Name LANCE PETERS
Signature Title DIRECTOR
Signature Date 9/11/19

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