FORM 1023-EZ for LEXINGTON BLACK WIDOWS WOMENS RUGBYFOOTBALL CLUB INC

Field Data
EIN 35-2334724
Case Number EO-2018136-000385
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name LEXINGTON BLACK WIDOWS WOMENS RUGBYFOOTBALL CLUB INC
Organization’s Mailing Address 656 NORTHSIDE DRIVE
City LEXINGTON
State KY
ZIP 40505-2304
Accounting period End 12
Primary contact name KATHERINE GRACE LEPPERT DOWNEY
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

SHEA HILL
HEAD CAPTAIN
106 SKYVIEW DRIVE
CYNTHIANA KY 40508

Officer/Director/Trustee Two

KATHERINE GRACE LEPPERT DOWNEY
MATCH SECRETARY
656 NORTHSIDE DRIVE
LEXINGTON KY 40505-2304

Officer/Director/Trustee Three

AMBRIE CWIK
PUBLIC RELATIONS/RECRUITING OFFICER
3900 CROSBY DRIVE APT 418
LEXINGTON KY 40515

Officer/Director/Trustee Four

KRISTI MCINTOSH
TREASURER/CIPP ADMINISTRATOR
1151 HORSEMANS LANE 118
LEXINGTON KY 40504

Organization’s website HTTPS://WWW.FACEBOOK.COM/LEXINGTONBLACKWIDOWSRFC/
Organization’s email LEXWIDOWSRUGBY@GMAIL.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 9/9/15
Organization Incorporation State KY
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code N50 - Recreational, Pleasure, or Social Club
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 Yes
Donation of funds Yes
Conducting Activities Outside of United States No
Financial transactions with officers Yes
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 Yes
Correctness Declaration Yes
Signature Name KATHERINE GRACE LEPPERT DOWNEY
Signature Title MATCH SECRETARY
Signature Date 5/12/18

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