FORM 1023-EZ for NORTH MAT BACKERS

Field Data
EIN 74-3217114
Case Number EO-2014262-000196
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name NORTH MAT BACKERS
Organization’s Mailing Address 2725 MERCURY AVE
City EAU CLAIRE
State WI
ZIP 54703
Accounting period End 8
Primary contact name MELISSA STOLT
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

MELISSA STOLT
PRESIDENT
2725 MERCURY AVE
EAU CLAIRE WI 54703

Officer/Director/Trustee Two

CHRIS DAHLBY
VICE PRESIDENT
2757 WELLINGTON DRIVE EAST
EAU CLAIRE WI 54703

Officer/Director/Trustee Three

GAIL PETERSON
TREASURER
3114 COMET AVE
EAU CLAIRE WI 54703

Organization’s website
Organization’s email NORTHHUSKYYOUTHWRESTLING@GMAIL.COM
Organization Incorporated No
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 7/13/2014
Organization Incorporation State WI
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: 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 Yes
One Third Support Gifts No
Benefit of College No
Private Foundation 508(e) No
Seeking Retroactive Reinstatement Yes
Seeking Section 7 Reinstatement No
Correctness Declaration Yes
Signature Name
Signature Title
Signature Date

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