FORM 1023-EZ for WESTFIELD RAZORBACKS WRESTLING BOOSTER CLUB

Field Data
EIN 82-3935211
Case Number EO-2019028-000144
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name WESTFIELD RAZORBACKS WRESTLING BOOSTER CLUB
Organization’s Mailing Address 152 7TH ST NW PO BOX 714
City BLOOMING PRAIRIE
State MN
ZIP 55917
Accounting period End 12
Primary contact name DAVID SUBBERT
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

SCOTT ARCHER
PRESIDENT
PO BOX 385
BLOOMING PRAIRIE MN 55917

Officer/Director/Trustee Two

TERRI ZWIENER
TREASURER
152 7TH ST NW
BLOOMING PRAIRIE MN 55917

Officer/Director/Trustee Three

LORI WACEK
SECRETARY
PO BOX 385
BLOOMING PRAIRIE MN 55917

Officer/Director/Trustee Four

DAVID SUBBERT
DIRECTOR
PO BOX 363
HAYFIELD MN 55940

Officer/Director/Trustee Five

KEVIN BRONSON
DIRECTOR
73957 168TH AVE
HAYFIELD MN 55940

Organization’s website N/A
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 1/12/18
Organization Incorporation State MN
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code N70 - Amateur Sports Competitions
Organization’s purpose Charitable: No
Religious: No
Educational: No
Scientific: No
Literary: No
Public Safety: No
Amateur Sports: Yes
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 DAVID SUBBERT
Signature Title DIRECTOR
Signature Date 12/13/18

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