FORM 1023-EZ for BOONE WRESTLING CLUB

Field Data
EIN 83-2025093
Case Number EO-2018317-000173
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name BOONE WRESTLING CLUB
Organization’s Mailing Address PO BOX 284
City STRATFORD
State IA
ZIP 50249
Accounting period End 12
Primary contact name DALTON MOURLAM - PRESIDENT
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

DALTON MOURLAM
PRESIDENT
931 AVON STREET
STRATFORD IA 50249

Officer/Director/Trustee Two

CODY WARRICK
TREASURER
1726 BOONE STREET
BOONE IA 50036

Officer/Director/Trustee Three

MARC OOSTENINK
VICE PRESIDENT
647 SYCAMORE PLACE
BOONE IA 50036

Officer/Director/Trustee Four

PETER THOMAS
SECRETARY
601 SUNSET PLACE
BOONE IA 50036

Officer/Director/Trustee Five

JORDON OVERTON
MEMBER-AT-LARGE
2327 170TH STREET
AMES IA 50014

Organization’s website
Organization’s email BOONEWRESTLINGCLUB@HOTMAIL.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 9/13/18
Organization Incorporation State IA
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: 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 DALTON MOURLAM
Signature Title PRESIDENT
Signature Date 11/8/18

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