FORM 1023-EZ for LOUISVILLE CRASH RUGBY FOOTBALL CLUB

Field Data
EIN 84-4452436
Case Number EO-2020057-000254
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name LOUISVILLE CRASH RUGBY FOOTBALL CLUB
Organization’s Mailing Address 846 BRECKENRIDGE LANE
City LOUISVILLE
State KY
ZIP 40207
Accounting period End 12
Primary contact name KELSEY HARRIS
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

KELSEY HARRIS
PRESIDENT OF BOARD OF DIRECTORS
846 BRECKENRIDGE LANE
LOUISVILLE KY 40207

Officer/Director/Trustee Two

PATRICK WILBOURN
TREASURER
1200 CLARK RIDGE RD
FISHERSVILLE KY 40023

Officer/Director/Trustee Three

FRANCIS VIANCOURT
BOARD MEMBER
122 BONNER AVE
LOUISVILLE KY 40207

Officer/Director/Trustee Four

EMIL WALTON
BOARD MEMBER
3900 ELMWOOD AVE
LOUISVILLE KY 40207

Officer/Director/Trustee Five

PATRICIA FIKE
BOARD MEMBER
3521 SAINT GERMAINE CT
LOUISVILLE KY 40207

Organization’s website LOUISVILLECRASHRUGBY.ORG
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 1/27/2020
Organization Incorporation State KY
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: No
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 KELSEY HARRIS
Signature Title PRESIDENT OF BOARD OF DIRECTORS
Signature Date 2/24/2020

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