FORM 1023-EZ for NORTHERN VIRGINIA RUGBY FOUNDATION

Field Data
EIN 82-4917816
Case Number EO-2018109-000379
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name NORTHERN VIRGINIA RUGBY FOUNDATION
Organization’s Mailing Address 9357 ANGELL FALLS STREET
City BRISTOW
State VA
ZIP 20136
Accounting period End 12
Primary contact name JOHN HICKS
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

JOHN HICKS
DIRECTOR
9357 ANGEL FALLS STREET
BRISTOW VA 20136

Officer/Director/Trustee Two

PHILIP DORN
CO-DIRECTOR
10009 BROADSWORD DRIVE
BRISTOW VA 20136

Organization’s website WWW.NOVARUGBYFOUNDATION.ORG
Organization’s email JOHN.HICKS@NOVARUGBYFOUNDATION.ORG
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 4/10/18
Organization Incorporation State VA
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code N70 - Amateur Sports Competitions
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 JOHN HICKS
Signature Title DIRECTOR
Signature Date 4/16/18

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