FORM 1023-EZ for KELLIS WRESTLING BOOSTER CLUB

Field Data
EIN 83-2019190
Case Number EO-2019238-000678
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name KELLIS WRESTLING BOOSTER CLUB
Organization’s Mailing Address 8990 WEST ORANGEWOOD AVE
City GLENDALE
State AZ
ZIP 85305
Accounting period End 6
Primary contact name BRIDGET RYAN
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

GINA MURCHISON
PRESIDENT
8990 WEST ORANGEWOOD AVE
GLENDALE AZ 85305

Officer/Director/Trustee Two

BRIDGET RYAN
VICE-PRESIDENT
8990 WEST ORANGEWOOD AVE
GLENDALE AZ 85305

Officer/Director/Trustee Three

SUSAN DEMETER
SECRETARY
8990 WEST ORANGEWOOD AVE
GLENDALE AZ 85305

Officer/Director/Trustee Four

PAMELA WORRELLL
TREASURE
8990 WEST ORANGEWOOD AVE
GLENDALE AZ 85305

Organization’s website
Organization’s email KELLISWRESTLINGBOOSTERCLUB@GMAIL.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 10/18/18
Organization Incorporation State AZ
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code N99 - Recreation, Sports, Leisure, Athletics 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 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 BRIDGET RYAN
Signature Title VICE-PRESIDENT
Signature Date 8/23/19

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