FORM 1023-EZ for SPARTA WRESTLING CLUB INC

Field Data
EIN 47-1384710
Case Number EO-2014225-000419
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name SPARTA WRESTLING CLUB INC
Organization’s Mailing Address PO BOX 521
City SPARTA
State WI
ZIP 54656
Accounting period End 7
Primary contact name ANDY POLHAMUS
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

LARRY MOSLEY
PRESIDENT
5997 UPTON AVE
SPARTA WI 54656

Officer/Director/Trustee Two

MIKE MONTGOMERY
VICE PRESIDENT
415 W MAIN STREET
SPARTA WI 54656

Officer/Director/Trustee Three

MARY NOWACZYK
TREASURER
9541 GARDENER AVE
SPARTA WI 54656

Officer/Director/Trustee Four

ANDY POLHAMUS
SECRETARY
17750 IDEAL RD
SPARTA WI 54656

Officer/Director/Trustee Five

JEAN RODDICK
HIGH SCHOOL REPRESENTATIVE
14907 GALE RD
SPARTA WI 54656

Organization’s website
Organization’s email SPARTAWRESTLINGCLUB@YAHOO.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 7/7/2014
Organization Incorporation State WI
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 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
Signature Title
Signature Date

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