FORM 1023-EZ for SE POLK WRESTLING CLUB

Field Data
EIN 81-1771791
Case Number EO-2020064-000393
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name SE POLK WRESTLING CLUB
Organization’s Mailing Address 1770 ANDREWS DRIVE
City PLEASANT HILL
State IA
ZIP 50327
Accounting period End 12
Primary contact name MICHELLE HANSON
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

MICHELLE HANSON
PRESIDENT
1770 ANDREWS DRIVE
PLEASANT HILL IA 50327

Officer/Director/Trustee Two

JOY ELDER
SECRETARY
3026 SE 112TH STREET
RUNNELLS IA 50237

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 2/11/2016
Organization Incorporation State IA
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code N11 - Single Organization Support
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 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 Yes
Correctness Declaration Yes
Signature Name MICHELLE HANSON
Signature Title PRESIDENT
Signature Date 3/2/2020
EIN 81-1771791
Case Number EO-2016106-000148
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name SE POLK WRESTLING CLLLLLUB
Organization’s Mailing Address 211 DOOLEY COURT SW
City ALTOONA
State IA
ZIP 50009
Accounting period End 12
Primary contact name ANTHONY MARTIN
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

ANTHONY MARTINSON
PRESIDENT
211 DOOLEY COURT SW
ALTOONA IA 50009

Officer/Director/Trustee Two

DANIEL BAIN
SECRETARY
2134 ROAD AVE SW
ALTOONA IA 50009

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 2/11/2016
Organization Incorporation State IA
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code N11 - Single Organization Support
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 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 No
Benefit of College No
Private Foundation 508(e) Yes
Seeking Retroactive Reinstatement No
Seeking Section 7 Reinstatement No
Correctness Declaration Yes
Signature Name
Signature Title
Signature Date

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