FORM 1023-EZ for FORT LUPTON METRO WRESTLING

Field Data
EIN 83-4648340
Case Number EO-2019128-000155
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name FORT LUPTON METRO WRESTLING
Organization’s Mailing Address PO BOX 75
City FT LUPTON
State CO
ZIP 80621
Accounting period End 12
Primary contact name ANNA JAMES
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

PAT ORNELAS
PRESIDENT
PO BOX 75
FT LUPTON CO 80621

Officer/Director/Trustee Two

LOU ARAMBULA
VICE PRESIDENT
PO BOX 75
FT LUPTON CO 80621

Officer/Director/Trustee Three

ANNA JAMES
TREASURER
PO BOX 75
FT LUPTON CO 80621

Officer/Director/Trustee Four

TANYA LIVESAY
SECRETARY
PO BOX 75
FT LUPTON CO 80621

Officer/Director/Trustee Five

MANDI GALICIA
MEMBER AT LARGE
PO BOX 75
FT LUPTON CO 80621

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 5/6/19
Organization Incorporation State CO
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code O20 - Youth Centers, Clubs, Multipurpose
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 Yes
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 ANNA JAMES
Signature Title TREASURER
Signature Date 5/6/19

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