FORM 1023-EZ for JOHNSON CITY RUGBY

Field Data
EIN 86-3083073
Case Number EO-2021103-000531
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name JOHNSON CITY RUGBY
Organization’s Mailing Address 1015 KNOB CREEK ROAD
City JOHNSON CITY
State TN
ZIP 37604-5315
Accounting period End 12
Primary contact name RYAN OWENS
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

RYAN OWENS
PRESIDENT
1015 KNOB CREEK
JOHNSON CITY TN 37604-5315

Officer/Director/Trustee Two

ADAM JASENAK
VICE PRESIDENT
261 S PICKENS BRIDGE RD
JOHNSON CITY TN 37615

Officer/Director/Trustee Three

ZECH WESLEY
SENIOR OFFICER
400 BROOKWOOD DR
JOHNSON TN 37615

Organization’s website WWW.JOHNSONCITYRUGBY.COM
Organization’s email JOHNSONCITYRUGBY.PUMAS@GMAIL.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 9/26/2019
Organization Incorporation State TN
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: No
Religious: No
Educational: Yes
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 RYAN OWENS
Signature Title PRESIDENT
Signature Date 4/7/2021

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