FORM 1023-EZ for SIMSBURY RUGBY CLUB

Field Data
EIN 82-0602826
Case Number EO-2017299-000278
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name SIMSBURY RUGBY CLUB
Organization’s Mailing Address 10 ROBIN ROAD
City SIMSBURY
State CT
ZIP 06070
Accounting period End 12
Primary contact name DAVID MUDANO
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

DAVID MUDANO
TREASURER
10 ROBIN ROAD
SIMSBURY CT 06070

Officer/Director/Trustee Two

CHRISTOPHER HAAS
PRESIDENT
5 SHAW DR
SIMSBURY CT 06070

Officer/Director/Trustee Three

WENDY WALSH
GIRLS VICE PRESIDENT
10 RICHARD RD
SIMSBURY CT 06070

Officer/Director/Trustee Four

ELIZABETH CARY
BOYS VICE PRESIDENT
39 CLIFDON
SIMSBURY CT 06070

Organization’s website HTTP://SIMSBURYRUGBY.COM/
Organization’s email
Organization Incorporated No
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 3/24/2017
Organization Incorporation State CT
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code O50 - Youth Development Programs, Other
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 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
Signature Title
Signature Date

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