FORM 1023-EZ for GROVE WRESTLING BOOSTER CLUB INC

Field Data
EIN 83-4538401
Case Number EO-2019135-000067
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name GROVE WRESTLING BOOSTER CLUB INC
Organization’s Mailing Address 65789 E 270 RD
City GROVE
State OK
ZIP 74344
Accounting period End 12
Primary contact name JACKIE WYATT
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

RUBEN HERNANDEZ
PRESIDENT
1706 MARINA DR
GROVE OK 74344

Officer/Director/Trustee Two

KARA GATES
VICE-PRESIDENT
31411 S 4575 RD
AFTON OK 74331

Officer/Director/Trustee Three

JACKIE WYATT
TREASURER
65789 E 270 RD
GROVE OK 74344

Officer/Director/Trustee Four

NATASHA ARNALL
SECRETARY
1302 ROCKWOOD DR
GROVE OK 74344

Officer/Director/Trustee Five

AMY TURNEY
FUNDRAISING REPRESENTATIVE
1304 KAYLA ST
GROVE OK 74344

Organization’s website WWW.FACEBOOK.COM/GROVEWRESTLING/
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 10/18/18
Organization Incorporation State OK
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 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 RUBEN HERNANDEZ
Signature Title PRESIDENT
Signature Date 5/13/19

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